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

ICD-10 D69.2

Billable / Specific HCC v28: 48

Other nonthrombocytopenic purpura

D69
Block
3
Synonyms
0
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM D69.2

ICD-10-CM code D69.2 represents Other nonthrombocytopenic purpura. This is a billable/specific code in the Blood and Blood-forming Organs chapter (block D69). The 2026 edition of ICD-10-CM D69.2 became effective on October 1, 2025.

Coding Tips for D69.2

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

HCC capture: document with MEAT each year

D69.2 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 D69.2. Per CMS ICD-10-CM Tabular 2026.

  • Purpura NOS
  • Purpura simplex
  • Senile purpura

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 D69.2

Local Coverage Determinations (LCDs) from CMS MACs that list D69.2 as a covered diagnosis.

No Medicare LCDs reference D69.2 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D69.2.

1 policies

1 Cigna

Flow Cytometry - (0538)
Policy ID: MM_0538

CPT Codes Commonly Billed with D69.2

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

No procedure linkages on file for D69.2

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert D69.2 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
D69.2 2872 00000

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

ICD-10 D69.2, Billing FAQ

Is ICD-10 code D69.2 billable? +

Yes, D69.2 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 D69.2? +

ICD-10 D69.2 includes: Purpura NOS; Purpura simplex; Senile purpura.

Does D69.2 affect Medicare Advantage HCC risk adjustment? +

Yes. D69.2 maps to CMS-HCC v28 category 48. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What ICD-9 codes does D69.2 map to? +

Per CMS GEMs, D69.2 maps to ICD-9 codes: 2872. 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 June 1, 2026.

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