D47.3

D47.3: Essential (hemorrhagic) thrombocythemia

Billable / specific codeICD-10-CM

D47.3 is a billable, specific ICD-10-CM code for essential (hemorrhagic) thrombocythemia. It is valid for submission on a claim.

Check D47.3 with the rest of the claim: free scrubber

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

reactive thrombocytosis (D75.838)
secondary thrombocytosis (D75.838)
thrombocythemia NOS (D75.839)
thrombocytosis NOS (D75.839)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Essential thrombocytosis
Idiopathic hemorrhagic thrombocythemia
Primary thrombocytosis

Other codes that can never be billed with D47.3

Their own Excludes1 notes name this code, so the conflict is not listed above.

D69Purpura and other hemorrhagic conditions

Risk adjustment

D47.3 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 23 Prostate, Breast, and Other Cancers and Tumors0.186 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

D47.3 is named in 44 Medicare coverage policies: 44 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52479Oral Anticancer Drugs - Policy Article
A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
A52986Billing and Coding: Biomarkers for Oncology
A55639Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions

Alphabetic index entries that lead here

Thrombocythemia›essential
Thrombocythemia›idiopathic
Thrombocythemia›primary
Thrombocytosis›essential
Thrombocytosis›idiopathic
Thrombocytosis›primary

Code history

Unchanged in every release from FY2024 to FY2027.