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v1.0.0
ICD-10 Guide
DiagnosesLow Platelet

Low Platelet

ICD-10 Coding for Low Platelet Count(D69.6, D69.3, D69.5)

PRIMARY SPECIALTYHematology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Low Platelet?
Essential facts and insights about Low Platelet Count

Key Clinical Considerations:

  • Easy bruising or bleeding
  • Thrombocytopenia confirmed by complete blood count (CBC)
  • Signs of petechiae or purpura on skin examination

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of bleeding disorders
  • Results of platelet count and peripheral blood smear
  • Documentation of any underlying conditions contributing to low platelet count

Coding Guidelines

Usage Guidelines & Examples

  • Use D69.6 for unspecified cases; D69.5 for cases with known causes.
  • Common errors include misclassifying the type of thrombocytopenia.

Code Exclusions

Important Exclusions

  • Excludes conditions like thrombocytopenic purpura and bone marrow disorders.
  • Alternative codes may include those for specific causes of thrombocytopenia.

Related ICD-10 Codes

Primary Codes
D69.6
Thrombocytopenia, unspecified
D69.5
Secondary thrombocytopenia
Ancillary Codes
D68.311
T45.515A
Differential Codes
D69.5
D69.3

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Hematology

Specialty Applications

  • Patients with hematological disorders, autoimmune diseases, or those undergoing chemotherapy.
  • Clinical settings include outpatient hematology clinics and inpatient care.

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed patient history, lab results, and any treatments administered.

Billing considerations?

Ensure accurate coding to reflect the underlying cause of thrombocytopenia for proper reimbursement.