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Compare/D69 vs R74

D69 vs R74

D69 (Purpura and other hemorrhagic conditions) compared with R74 (Abnormal serum enzyme levels), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. R74 carries an Excludes2 note covering D69: “abnormalities of platelets and thrombocytes (D69.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

D69Purpura and other hemorrhagic conditionsR74Abnormal serum enzyme levels
Billing statusNon-billable header

Report instead: D69.0, D69.1, D69.11, D69.19, D69.2

Non-billable header

Report instead: R74.01, R74.02, R74.8, R74.9

ClassificationD50-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)
DefinitionPurpura and other hemorrhagic conditions is a non-billable ICD-10-CM category code (D69).Abnormal serum enzyme levels is a non-billable ICD-10-CM category code (R74).
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources