ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 D69.1

Billable / Specific HCC v28: 48

Qualitative platelet defects

D69
Block
5
Synonyms
74
LCDs
6
Payer Policies
33
Linked CPTs

About ICD-10-CM D69.1

ICD-10-CM code D69.1 represents Qualitative platelet defects. This is a billable/specific code in the Blood and Blood-forming Organs chapter (block D69). The 2026 edition of ICD-10-CM D69.1 became effective on October 1, 2025.

Coding Tips for D69.1

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

D69.1 is a CMS-HCC v28 risk-adjustment code (category 48). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under D69.1. Per CMS ICD-10-CM Tabular 2026.

  • Bernard-Soulier [giant platelet] syndrome
  • Glanzmann's disease
  • Grey platelet syndrome
  • Thromboasthenia (hemorrhagic) (hereditary)
  • Thrombocytopathy

Type 1 Excludes

Pure excludes, these codes can never be coded together with D69.1. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • hemolytic-uremic syndrome (D59.3-)

Type 2 Excludes

Not included here, the excluded code is not part of D69.1, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • von Willebrand disease (D68.0-)

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 48
ESRD-HCC
Category 48
RxHCC (Part D)
Category 48

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Medicare LCD Coverage for D69.1

Local Coverage Determinations (LCDs) from CMS MACs that list D69.1 as a covered diagnosis.

74 LCDs

Showing top 10 of 74 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3
Article ID: 56065, Effective: 2022-11-24 00:00:00, 15 covered, 0 non-covered
CPT J7195 →
CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3
Article ID: 56065, Effective: 2022-11-24 00:00:00, 15 covered, 0 non-covered
CPT J7197 →
CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3
Article ID: 56065, Effective: 2022-11-24 00:00:00, 15 covered, 0 non-covered
CPT J7210 →
CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3
Article ID: 56065, Effective: 2022-11-24 00:00:00, 15 covered, 0 non-covered
CPT J7183 →
CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3
Article ID: 56065, Effective: 2022-11-24 00:00:00, 15 covered, 0 non-covered
CPT J7201 →
CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3
Article ID: 56065, Effective: 2022-11-24 00:00:00, 15 covered, 0 non-covered
CPT J7179 →
CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3
Article ID: 56065, Effective: 2022-11-24 00:00:00, 15 covered, 0 non-covered
CPT J7196 →
CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3
Article ID: 56065, Effective: 2022-11-24 00:00:00, 15 covered, 0 non-covered
CPT J7187 →
CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3
Article ID: 56065, Effective: 2022-11-24 00:00:00, 15 covered, 0 non-covered
CPT J7182 →
CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3
Article ID: 56065, Effective: 2022-11-24 00:00:00, 15 covered, 0 non-covered
CPT J7202 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D69.1.

6 policies

1 Cigna

Flow Cytometry - (0538)
Policy ID: MM_0538

4 Medicare

Billing and Coding: Lab: Flow Cytometry
Policy ID: ART-55717
Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3
Policy ID: ART-56065
Billing and Coding: Flow Cytometry
Policy ID: ART-56464
Billing and Coding: Lab: Flow Cytometry
Policy ID: ART-57689

1 Aetna

Hepatitis B Vaccine
Policy ID: CPB-0410

CPT Codes Commonly Billed with D69.1

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

33 linkages
  • J7187 CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3 CMS LCD
  • J7201 CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3 CMS LCD
  • J7179 CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3 CMS LCD
  • J7194 CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3 CMS LCD
  • J7180 CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3 CMS LCD
  • J7175 CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3 CMS LCD
  • J7189 CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3 CMS LCD
  • J7209 CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3 CMS LCD
  • J7186 CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3 CMS LCD
  • J7182 CMS LCD: Billing and Coding: Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3 CMS LCD

Convert D69.1 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
D69.1 2871 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 D69.1, Billing FAQ

Is ICD-10 code D69.1 billable? +

Yes, D69.1 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to D69.1? +

ICD-10 D69.1 includes: Bernard-Soulier [giant platelet] syndrome; Glanzmann's disease; Grey platelet syndrome, and 2 more clinical synonyms.

What codes are Type 1 Excludes for D69.1? +

Type 1 Excludes (never code together with D69.1): hemolytic-uremic syndrome (D59.3-)

What codes are Type 2 Excludes for D69.1? +

Type 2 Excludes (may be coded together when both conditions exist): von Willebrand disease (D68.0-)

Does D69.1 affect Medicare Advantage HCC risk adjustment? +

Yes. D69.1 maps to CMS-HCC v28 category 48. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What CPT codes are commonly billed with D69.1? +

Procedures frequently paired with D69.1 include: J7187, J7201, J7179, J7194, J7180.

What ICD-9 codes does D69.1 map to? +

Per CMS GEMs, D69.1 maps to ICD-9 codes: 2871. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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