D69 vs R79

D69 (Purpura and other hemorrhagic conditions) compared with R79 (Other abnormal findings of blood chemistry), 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. R79 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 conditions	R79Other abnormal findings of blood chemistry
Billing status	Non-billable header Report instead: D69.0, D69.1, D69.11, D69.19, D69.2	Non-billable header Report instead: R79.0, R79.1, R79.81, R79.82, R79.83
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).	Other abnormal findings of blood chemistry is a non-billable ICD-10-CM category code (R79).
Use additional code	—	code to identify any retained foreign body, if applicable (Z18.-)

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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