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    OpenPayerBilling CodesCoagulation defects, purpura and other hemorrhagic conditionsICD-10-CM d69-purpura-and-hemorrhagic-conditions
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    ICD-10-CM Code For Purpura And Other Hemorrhagic Conditions: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group D69 includes purpura and other hemorrhagic disorders such as platelet function defects, immune thrombocytopenic purpura, and unspecified hemorrhagic conditions that result in bleeding into the skin, mucosa, or internal sites. These ICD-10-CM diagnosis codes are used to document clinical scenarios involving bleeding diatheses, platelet or coagulation abnormalities, and related complications, capturing disease severity, organ involvement, or clinical complexity relevant to this group. Accurate coding within the ICD-10-CM D69 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM D69: Purpura And Other Hemorrhagic Conditions Overview

    The ICD-10-CM D69 group includes purpura and other hemorrhagic disorders that affect blood clotting and vascular integrity, leading to bleeding into the skin, mucous membranes, or internal organs. These diagnoses commonly involve hematologic and vascular systems and may reflect platelet disorders, coagulation factor abnormalities, or vascular fragility. Accurate coding is important for complete clinical documentation and supports appropriate reimbursement by reflecting the complexity of bleeding presentations.

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    When to Use

    Assign a code from this group when clinical documentation indicates purpura or another hemorrhagic condition as the primary diagnosis, or when bleeding manifestations are a significant focus of care. Use the most specific code available to reflect the underlying cause, severity, and any associated complications documented in the medical record.

    ICD-10-CM Codes

    12 rows

    ICD-10-CM CodeDescription
    D69.0Allergic purpura
    D69.1Qualitative platelet defects
    D69.2Other nonthrombocytopenic purpura
    D69.3Immune thrombocytopenic purpura
    D69.41Evans syndrome
    D69.42Congenital and hereditary thrombocytopenia purpura
    D69.49Other primary thrombocytopenia
    D69.51Posttransfusion purpura
    D69.59Other secondary thrombocytopenia
    D69.6Thrombocytopenia, unspecified
    D69.8Other specified hemorrhagic conditions
    D69.9Hemorrhagic condition, unspecified

    DRG Codes

    3 rows

    DRG CodeDescription
    791Prematurity with Major Problems
    793Full Term Neonate with Major Problems
    813Coagulation Disorders

    Typical Clinical Scenarios

    • An adult presents to the emergency department with new-onset widespread petechiae, mucosal bleeding (epistaxis and gingival bleeding), and a platelet count of 12,000/µL after a viral prodrome. The acute presentation with isolated severe thrombocytopenia and bleeding prompts urgent hematology evaluation and platelet-focused management, and an immune-mediated thrombocytopenia diagnosis from this group is assigned. Typical codes: D69.3, D69.6
    • A middle-aged patient in outpatient follow-up has a chronic history of recurrent easy bruising and prolonged bleeding after minor procedures, with laboratory evidence of a platelet function disorder but normal platelet count. Because this is an ongoing, non-acute bleeding diathesis related to platelet dysfunction rather than coagulation factor deficiency, a chronic hemorrhagic condition code from the group is used to document the long-term diagnosis and guide pre-procedural planning. Typical codes: D69.41, D69.42
    • A hospitalized elderly patient on anticoagulant therapy develops new extensive purpura and a drop in hemoglobin without trauma; workup excludes disseminated intravascular coagulation but identifies drug-related thrombocytopenia. The purpura and clinically significant bleeding as a complication of medication necessitate assignment of a hemorrhagic condition code from the group to capture the bleeding disorder as a comorbidity affecting management. Typical codes: D69.49, D69.59

    Related Codes

    D65-DISSEMINATED-INTRAVASCULAR-COAGULATION

    ICD-10-CM Code For Disseminated Intravascular Coagulation Defibrination Syndrome: Group Overview

    D66-HEREDITARY-FACTOR-VIII-DEFICIENCY

    ICD-10-CM Code For Hereditary Factor VIII Deficiency: Group Overview

    D67-HEREDITARY-FACTOR-IX-DEFICIENCY

    ICD-10-CM Code For Hereditary Factor IX Deficiency: Group Overview

    D68-OTHER-COAGULATION-DEFECTS

    ICD-10-CM Code For Other Coagulation Defects: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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