D69.49: Other primary thrombocytopenia
D69.49 is a billable, specific ICD-10-CM code for other primary thrombocytopenia. It is valid for submission on a claim.
Check D69.49 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Megakaryocytic hypoplasia
- Primary thrombocytopenia NOS
Other codes that can never be billed with D69.49
Their own Excludes1 notes name this code, so the conflict is not listed above.
- R23.3Spontaneous ecchymoses
Risk adjustment
D69.49 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
D69.49 is named in 27 Medicare coverage policies: 27 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
- A56199Billing and Coding: Molecular Pathology Procedures
- A56380Billing and Coding: Rituximab
Alphabetic index entries that lead here
- Hypoplasia, hypoplastic›megakaryocytic
- Purpura›primary
- Purpura›thrombocytopenic
- Purpura›thrombopenic
- Thrombocytopenia, thrombocytopenic›primary NEC
- Hypoplasia, hypoplastic›bone NOS›marrow›megakaryocytic
Code history
Unchanged in every release from FY2024 to FY2027.