D69 vs R23.3
D69 (Purpura and other hemorrhagic conditions) compared with R23.3 (Spontaneous ecchymoses), 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. R23.3 carries an Excludes1 note covering D69: “purpura (D69.-)”
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
| D69Purpura and other hemorrhagic conditions | R23.3Spontaneous ecchymoses | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | D50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Purpura and other hemorrhagic conditions is a non-billable ICD-10-CM category code (D69). | Spontaneous ecchymoses is a billable ICD-10-CM diagnosis code (R23.3). |
| Includes | — | Petechiae |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources