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D69 vs R74.02

D69 (Purpura and other hemorrhagic conditions) compared with R74.02 (Elevation of levels of lactic acid dehydrogenase [LDH]), 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. R74.02 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 conditionsR74.02Elevation of levels of lactic acid dehydrogenase [LDH]
Billing statusNon-billable header

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

Billable
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).Elevation of levels of lactic acid dehydrogenase [LDH] is a billable ICD-10-CM diagnosis code (R74.02).

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