Purpura and other hemorrhagic conditions (D69) ICD-10-CM
The D69 code range covers purpura and other hemorrhagic conditions with 15 ICD-10-CM diagnosis codes. 12 of them are billable and valid for claim submission in fiscal year 2026, and the category headers group them but cannot themselves be billed.
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.
Codes in the D69 Range 15 codes · 12 billable
- D69 Purpura and other hemorrhagic conditionsNon-billable
- D69.0 Allergic purpura
- D69.1 Qualitative platelet defects
- D69.2 Other nonthrombocytopenic purpura
- D69.3 Immune thrombocytopenic purpura
- D69.4 Other primary thrombocytopeniaNon-billable
- D69.41 Evans syndrome
- D69.42 Congenital and hereditary thrombocytopenia purpura
- D69.49 Other primary thrombocytopenia
- D69.5 Secondary thrombocytopeniaNon-billable
- D69.51 Posttransfusion purpura
- D69.59 Other secondary thrombocytopenia
- D69.6 Thrombocytopenia, unspecified
- D69.8 Other specified hemorrhagic conditions
- D69.9 Hemorrhagic condition, unspecified
Clinical Terms in This Code Range
Definitions from the National Library of Medicine for conditions coded in the D69 range.
Blood Platelets
Non-nucleated disk-shaped cells formed in the megakaryocyte and found in the blood of all mammals. They are mainly involved in blood coagulation.
Gray Platelet Syndrome
A rare, inherited platelet disorder characterized by a selective deficiency in the number and contents of platelet alpha-granules. It is associated with THROMBOCYTOPENIA, enlarged platelets, and prolonged bleeding time.
Jacobsen Distal 11q Deletion Syndrome
A clinically recognized congenital malformation condition caused by a distal 11q deletion. The features of the syndrome are growth retardation, psychomotor retardation, trigonocephaly, divergent intermittent strabismus, epicanthus, telecanthus, broad nasal bridge, short nose with anteverted nostrils, carp-shaped upper lip, retrognathia, low-set dysmorphic ears, bilateral camptodactyly, and hammertoes. Platelet dysfunction is a feature in Paris-Trousseau type thrombocytopenia.
Kasabach-Merritt Syndrome
Rapidly growing vascular lesion along the midline axis of the neck, upper trunk, and extremities that is characterized by CONSUMPTION COAGULOPATHY; THROMBOCYTOPENIA; and HEMOLYTIC ANEMIA. It is often associated with infantile Kaposiform HEMANGIOENDOTHELIOMA and other vascular tumors such as tufted ANGIOMA.
Phlebovirus
A genus of the family BUNYAVIRIDAE comprising many viruses, most of which are transmitted by Phlebotomus flies and cause PHLEBOTOMUS FEVER. The type species is RIFT VALLEY FEVER VIRUS.
Purpura, Thrombocytopenic, Idiopathic
Thrombocytopenia occurring in the absence of toxic exposure or a disease associated with decreased platelets. It is mediated by immune mechanisms, in most cases IMMUNOGLOBULIN G autoantibodies which attach to platelets and subsequently undergo destruction by macrophages. The disease is seen in acute (affecting children) and chronic (adult) forms.
Severe Fever with Thrombocytopenia Syndrome
A tick-borne infection with SEVERE FEVER WITH THROMBOCYTOPENIA SYNDROME BUNYAVIRUS of the genus Phlebovirus. It is associated with fever, THROMBOCYTOPENIA; LEUKOCYTOPENIA, and multiorgan dysfunction. It is found in parts of Asia including China, Japan, Korea and Vietnam and can be transmitted from infected domestic animals and humans.
Thrombocytopenia
A subnormal level of BLOOD PLATELETS.
Thrombocytopenia, Neonatal Alloimmune
A condition in newborns caused by immunity of the mother to PLATELET ALLOANTIGENS on the fetal platelets. The PLATELETS, coated with maternal ANTIBODIES, are destroyed and removed by the fetal MONONUCLEAR PHAGOCYTE SYSTEM. Affected infants may have INTRACRANIAL HEMORRHAGES.
About the D69 Code Range
The ICD-10 codes D69 cover purpura and other hemorrhagic conditions, which are disorders involving bleeding or bruising caused by issues with blood vessels or platelets. These codes are used to classify various conditions where bleeding occurs under the skin or in tissues, often linked to abnormal platelet function or immune-mediated processes.
For example, D69.0 is used for allergic purpura, also known as IgA vasculitis or Henoch-Schönlein purpura, a condition involving inflammation of small blood vessels caused by immune complexes. D69.1 identifies qualitative platelet defects, which include acquired or hereditary platelet function disorders such as Glanzmann's thrombasthenia and Bernard Soulier syndrome, critical for coding cases involving abnormal platelet behavior without reduced platelet count. Other codes like D69.3 specify immune thrombocytopenic purpura (ITP), important for cases of low platelets due to autoimmune destruction, while D69.42 covers congenital thrombocytopenia, inherited platelet deficiencies. The section also includes secondary thrombocytopenia (D69.5), miscellaneous hemorrhagic conditions (D69.8), and unspecified types (D69.9), facilitating precise documentation of bleeding disorders for both clinical and billing purposes. Understanding these distinctions helps ensure accurate use of the ICD-10 code for purpura and related hemorrhagic conditions.
Questions About This Page
How many billable codes are in the D69 range?
Of the 15 codes in this range, 12 are billable and valid for claim submission from October 1, 2025 through September 30, 2026. Category header codes group them but cannot be reported on claims.
What does the D69 range classify?
The range classifies purpura and other hemorrhagic conditions. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2026 ICD-10-CM Tabular List and order file, effective October 1, 2025 through September 30, 2026.
