D69.1: Qualitative platelet defects
D69.1 is a non-billable header ICD-10-CM code for qualitative platelet defects. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- hemolytic-uremic syndrome (D59.3-)
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.
- von Willebrand disease (D68.0-)
Excludes1 inherited from the categories above D69.1
A category’s note binds every code beneath it.
Written on D69: Purpura and other hemorrhagic conditions
Other codes that can never be billed with D69.1
Their own Excludes1 notes name this code, so the conflict is not listed above.
- R23.3Spontaneous ecchymoses
Risk adjustment
D69.1 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 112 Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions0.450 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.
Code history
- deletedFY2024-FY2027
Qualitative platelet defects
Code to one of these instead D69.1
2 child codes. Green means billable.