ICD-10 D69.6
Billable / Specific HCC v28: 48Thrombocytopenia, unspecified
About ICD-10-CM D69.6
ICD-10-CM code D69.6 represents Thrombocytopenia, unspecified. This is a billable/specific code in the Blood and Blood-forming Organs chapter (block D69). The 2026 edition of ICD-10-CM D69.6 became effective on October 1, 2025.
Coding Tips for D69.6
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
D69.6 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.
Medicare Advantage HCC Impact
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 D69.6
Local Coverage Determinations (LCDs) from CMS MACs that list D69.6 as a covered diagnosis.
Showing top 10 of 606 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing D69.6.
2 Cigna
5 Medicare
CPT Codes Commonly Billed with D69.6
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 85025 CBC with differential — anemia, iron deficiency, fatigue, thrombocytopenia, neutropenia, leukemia, lymphoma, abnormal labs, routine exam, screening, fever, elevated WBC Laboratory
Convert D69.6 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| D69.6 | 2875 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To D69.6
Other codes in section D65-D69 (Coagulation defects, purpura and other hemorrhagic conditions).
ICD-10 D69.6, Billing FAQ
Is ICD-10 code D69.6 billable? +
Yes, D69.6 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Does D69.6 affect Medicare Advantage HCC risk adjustment? +
Yes. D69.6 maps to CMS-HCC v28 category 48. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What CPT codes are commonly billed with D69.6? +
Procedures frequently paired with D69.6 include: 85025.
What ICD-9 codes does D69.6 map to? +
Per CMS GEMs, D69.6 maps to ICD-9 codes: 2875. 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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