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D69.3

D69.3: Immune thrombocytopenic purpura

Billable / specific codeICD-10-CM

D69.3 is a billable, specific ICD-10-CM code for immune thrombocytopenic purpura. It is valid for submission on a claim.

Check D69.3 with the rest of the claim: free scrubber

Inclusion terms

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

  • Hemorrhagic (thrombocytopenic) purpura
  • Idiopathic thrombocytopenic purpura
  • Tidal platelet dysgenesis

Excludes1 inherited from the categories above D69.3

A category’s note binds every code beneath it.

Written on D69: Purpura and other hemorrhagic conditions

  • benign hypergammaglobulinemic purpura (D89.0)
  • cryoglobulinemic purpura (D89.1)
  • essential (hemorrhagic) thrombocythemia (D47.3)
  • hemorrhagic thrombocythemia (D47.3)
  • purpura fulminans (D65)
  • thrombotic thrombocytopenic purpura (M31.19)
  • Waldenström hypergammaglobulinemic purpura (D89.0)

Other codes that can never be billed with D69.3

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

Risk adjustment

D69.3 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.

Medicare coverage

D69.3 is named in 16 Medicare coverage policies: 16 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A55639Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions
  • A55717Billing and Coding: Lab: Flow Cytometry
  • A56380Billing and Coding: Rituximab
  • A56416Billing and Coding: Assays for Vitamins and Metabolic Function

Alphabetic index entries that lead here

  • Frank's essential thrombocytopenia
  • Werlhof's disease
  • Dysgenesis›tidal platelet
  • Hemorrhage, hemorrhagic›purpura(primary)
  • Purpura›hemorrhagic, hemorrhagica
  • Purpura›idiopathic(thrombocytopenic)
  • Purpura›immune thrombocytopenic
  • Thrombocytopenia, thrombocytopenic›essential
  • Thrombocytopenia, thrombocytopenic›idiopathic
  • Purpura›thrombocytopenic›hemorrhagic
  • Purpura›thrombocytopenic›idiopathic
  • Purpura›thrombocytopenic›immune

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under D69

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.