D47.3 vs D69
D47.3 (Essential (hemorrhagic) thrombocythemia) compared with D69 (Purpura and other hemorrhagic conditions), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. D69 carries an Excludes1 note covering D47.3: “essential (hemorrhagic) thrombocythemia (D47.3)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. D69 carries an Excludes1 note covering D47.3: “hemorrhagic thrombocythemia (D47.3)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| D47.3Essential (hemorrhagic) thrombocythemia | D69Purpura and other hemorrhagic conditions | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | C00-D49 — Neoplasms (C00-D49) | D50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89) |
| Definition | Essential (hemorrhagic) thrombocythemia is a billable ICD-10-CM diagnosis code (D47.3). | Purpura and other hemorrhagic conditions is a non-billable ICD-10-CM category code (D69). |
| Includes | Essential thrombocytosis Idiopathic hemorrhagic thrombocythemia Primary thrombocytosis | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources