D69.3 Immune thrombocytopenic purpura

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applicable to

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

Applies from D69 Purpura and other hemorrhagic conditions

Excludes1 (never code together)

• 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)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 112 — Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions
• CMS-HCC V22: HCC 48 — Coagulation Defects and Other Specified Hematological Disorders
• RxHCC V08: HCC 100 — Immune Thrombocytopenic Purpura
• ESRD V24: HCC 48

MS-DRG index

Defines the logic of DRG(s) 813 in MDC 16.

Approximate ICD-9-CM (GEMs)

• 287.31 Immune thrombocytopenic purpura (approximate)
• 287.39 Other primary thrombocytopenia (approximate)

Code annotations containing back-references to D69.3

Back-references to D69.3

• Type 1 Excludes: D69.0 Allergic purpura ("thrombocytopenic hemorrhagic purpura (D69.3)")

Back-references to D69

• Type 1 Excludes: R23.3 Spontaneous ecchymoses ("purpura (D69.-)")

Diagnosis Index entries for D69.3

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

Nearby codes

• D69 Purpura and other hemorrhagic conditions
• D69.0 Allergic purpura
• D69.1 Qualitative platelet defects
• D69.2 Other nonthrombocytopenic purpura
• D69.3 Immune thrombocytopenic purpura (this code)
• D69.4 Other primary thrombocytopenia
• D69.41 Evans syndrome
• D69.42 Congenital and hereditary thrombocytopenia purpura
• D69.49 Other primary thrombocytopenia
• D69.5 Secondary thrombocytopenia