ICD-10-CM Tabular Index · Chapter 3 · FY 2026 D65–D69
Coagulation defects, purpura and other hemorrhagic conditions (D65-D69) ICD-10-CM
The D65–D69 section covers coagulation defects, purpura and other hemorrhagic conditions with 50 ICD-10-CM diagnosis codes, of which 40 are billable in fiscal year 2026. The section is organized into the 5 code ranges listed below.
✓ Built from the official CMS FY 2026 datasetEffective Oct 1, 2025 – Sep 30, 2026
The info icon previews the code ranges inside each row and its instructional notations from the official Tabular List.
About the D65–D69 Code Range
ICD-10 codes D65-D69 cover disorders related to blood clotting problems and bleeding conditions, including coagulation defects, purpura, and other hemorrhagic states. These codes are used to classify a wide range of bleeding disorders from rare genetic deficiencies to acquired clotting abnormalities.
This range begins with D65, which codes for disseminated intravascular coagulation (also known as systemic fibrinogenolysis or purpura fulminans), a serious condition where clotting and bleeding happen simultaneously. Codes D66 and D67 specify hereditary deficiencies of clotting factors VIII and IX, commonly called hemophilia A and B. D68 captures other coagulation defects, including von Willebrand disease (types 1, 2, and 3), acquired coagulation factor deficiencies, and thrombophilia such as activated protein C resistance (Factor V Leiden mutation) and prothrombin gene mutations. The D69 series identifies purpura and platelet-related bleeding conditions, including immune thrombocytopenic purpura (ITP), allergic purpura (immunoglobulin A vasculitis), and other primary or secondary thrombocytopenias. These codes help healthcare providers and coders document specific bleeding disorders like Evans syndrome, posttransfusion purpura, and hereditary platelet function defects, ensuring precise diagnosis and management.
Questions About This Page
How many codes are in the D65-D69 range?
The D65-D69 range contains 50 ICD-10-CM diagnosis codes in FY 2026. 40 of them are billable, and the rest are category headers that organize the section.
What conditions does D65-D69 cover?
The range covers coagulation defects, purpura and other hemorrhagic conditions. The code ranges listed above break it into groups of related conditions, and each one links to its own page with the full code list.
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
Afibrinogenemia, acquired
Consumption coagulopathy
COVID-19 associated diffuse or disseminated intravascular coagulopathy
Diffuse or disseminated intravascular coagulation [DIC]
Fibrinolytic hemorrhage, acquired
Fibrinolytic purpura
Purpura fulminans
Code Also
A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
, if applicable, associated condition
Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
Classical hemophilia
Deficiency factor VIII (with functional defect)
Hemophilia NOS
Hemophilia A
Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
coagulation defects complicating abortion or ectopic or molar pregnancy O00O07O08.1
coagulation defects complicating pregnancy, childbirth and the puerperium O45.0O46.0O67.0O72.3
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
