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v1.0.0
ICD-10 Guide
ICD-10 CodesD69.2

D69.2

Billable

Other nonthrombocytopenic purpura

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D69.2 is a billable code used to indicate a diagnosis of other nonthrombocytopenic purpura.

Key Diagnostic Point:

Other nonthrombocytopenic purpura refers to a group of bleeding disorders characterized by the presence of purpura (purple spots on the skin) that occur without a decrease in platelet count. This condition can arise from various underlying causes, including coagulation defects, vascular abnormalities, or immune-mediated mechanisms. Unlike thrombocytopenic purpura, where low platelet counts are the primary issue, nonthrombocytopenic purpura can be associated with conditions such as hemophilia, von Willebrand disease, or other clotting factor deficiencies. Patients may present with symptoms such as easy bruising, spontaneous bleeding, or prolonged bleeding after injury. Diagnosis typically involves a thorough clinical evaluation, laboratory tests to assess platelet function and coagulation pathways, and sometimes genetic testing. Management may include treating the underlying cause, administering clotting factor concentrates, or using medications to enhance platelet function. Understanding the nuances of this condition is crucial for accurate coding and appropriate patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to similar symptoms
  • Need for comprehensive laboratory testing to confirm diagnosis
  • Differentiation from thrombocytopenic purpura
  • Potential overlap with other bleeding disorders

Audit Risk Factors

  • Inadequate documentation of laboratory results
  • Failure to specify the underlying cause of purpura
  • Misclassification with thrombocytopenic purpura
  • Lack of detailed clinical notes regarding bleeding episodes

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed patient history, laboratory results, and treatment plans.

Common Clinical Scenarios

Patients presenting with unexplained bruising or bleeding, requiring evaluation for bleeding disorders.

Billing Considerations

Ensure all relevant coagulation studies are documented to support diagnosis.

Primary Care

Documentation Requirements

Comprehensive patient history and physical examination findings.

Common Clinical Scenarios

Initial evaluation of patients with purpura or bleeding symptoms before referral to specialists.

Billing Considerations

Document any referrals to hematology or follow-up plans for ongoing management.

Coding Guidelines

Inclusion Criteria

Use D69.2 When
  • According to ICD
  • 10 coding guidelines, D69
  • 2 should be used when the purpura is not due to thrombocytopenia
  • Coders must ensure that the documentation supports the diagnosis and that any underlying conditions are also coded appropriately

Exclusion Criteria

Do NOT use D69.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with platelet count

Clinical Scenario

Used to evaluate patients presenting with purpura to assess platelet levels.

Documentation Requirements

Document the reason for the CBC and any relevant findings.

Specialty Considerations

Hematology specialists may require additional coagulation studies.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of bleeding disorders, including D69.2, which helps in better tracking and management of these conditions. The granularity of ICD-10 codes aids in understanding the prevalence and treatment outcomes of nonthrombocytopenic purpura.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of bleeding disorders, including D69.2, which helps in better tracking and management of these conditions. The granularity of ICD-10 codes aids in understanding the prevalence and treatment outcomes of nonthrombocytopenic purpura.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of bleeding disorders, including D69.2, which helps in better tracking and management of these conditions. The granularity of ICD-10 codes aids in understanding the prevalence and treatment outcomes of nonthrombocytopenic purpura.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between D69.2 and D69.1?

D69.2 refers to nonthrombocytopenic purpura, where platelet counts are normal, while D69.1 indicates thrombocytopenic purpura, characterized by low platelet counts.