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Compare/D59.3 vs D69.1

D59.3 vs D69.1

D59.3 (Hemolytic-uremic syndrome) compared with D69.1 (Qualitative platelet defects), 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. D69.1 carries an Excludes1 note covering D59.3: “hemolytic-uremic syndrome (D59.3-)”

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

D59.3Hemolytic-uremic syndromeD69.1Qualitative platelet defects
Billing statusNon-billable header

Report instead: D59.30, D59.31, D59.32, D59.39

Billable
ClassificationD50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89)D50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89)
DefinitionHemolytic-uremic syndrome is a non-billable ICD-10-CM category code (D59.3).Qualitative platelet defects is a billable ICD-10-CM diagnosis code (D69.1).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources