D69.19 ICD-10-CM Code: Other qualitative platelet defects
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 3 inclusion terms · 8 Excludes1 · 1 Excludes2
Code Set: New for FY2027 — not valid before October 1, 2026.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for D69.19 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on D69.19 itself; “inherited from” names the category or block whose note applies here.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Bernard-Soulier [giant platelet] syndrome
- Grey platelet syndrome
- Thrombocytopathy
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- hemolytic-uremic syndrome (D59.3-) inherited from D69.1Compare D69.19 vs D59.3 →
- benign hypergammaglobulinemic purpura (D89.0) inherited from D69Compare D69.19 vs D89.0 →
- cryoglobulinemic purpura (D89.1) inherited from D69Compare D69.19 vs D89.1 →
- essential (hemorrhagic) thrombocythemia (D47.3) inherited from D69Compare D69.19 vs D47.3 →
- hemorrhagic thrombocythemia (D47.3) inherited from D69Compare D69.19 vs D47.3 →
- purpura fulminans (D65) inherited from D69Compare D69.19 vs D65 →
- thrombotic thrombocytopenic purpura (M31.19) inherited from D69Compare D69.19 vs M31.19 →
- Waldenström hypergammaglobulinemic purpura (D89.0) inherited from D69Compare D69.19 vs D89.0 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- von Willebrand disease (D68.0-) Compare D69.19 vs D68.0 →
Source: inherited from D69.1
Coder workflow for D69.19
MedCoder structured workflow — derived from this code’s own official record
Before you code D69.19
- “Other” (NEC) means the condition is specified in the record but no dedicated code captures it. Confirm the documented form is not one a sibling code names before settling on D69.19; if the record states no specifics at all, the unspecified sibling applies instead. “Other” codes are for documented conditions the classification gives no specific code; “unspecified” codes are for records lacking the detail (Guidelines I.A.9.a, I.A.9.b).
ReviewD69.11
See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with D69.19. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support a condition named in D69.19’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.
Consider D69.19. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- Any detail beyond this code’s title
- What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.
Official instructions as workflow
Excludes1 — check before selecting D69.19(8 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with D69.19: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareD59.3, D89.0, D89.1, D47.3, D65, M31.19
See the official tabular notes · Guidelines I.A.12.a
Excludes2 — not part of D69.19(1 note)
Coding workflow: The conditions named in this note are not included in D69.19. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
CompareD68.0
See the official tabular notes · Guidelines I.A.12.b
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition D69.19 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Indexed Clinical Terms (11)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
- Bernard-Soulier disease or thrombopathia
- Defect, defective, platelets, qualitative
- Deficiency, deficient, platelet NEC
- Diacyclothrombopathia
- Disease, diseased, Bernard-Soulier (thrombopathy)
- Disorder (of), platelets
- Dysfunction, platelets
- Syndrome, giant platelet (Bernard-Soulier)
- Syndrome, gray or grey (newborn), platelet
- Thrombocytopathy (dystrophic) (granulopenic)
- Thrombopathy (Bernard-Soulier)
Official Coding Guidelines
No excerpt in the ICD-10-CM Official Guidelines names this code specifically. Its chapter carries only this chapter-wide note:
Chapter 3: Disease of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)
Reserved for future guideline expansion
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name D69.19 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Excludes1 note: R23.3 — Spontaneous ecchymoses (via D69.-).
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 10 Excludes2 notes: R70 — Elevated erythrocyte sedimentation rate and abnormality of plasma viscosity (via D69.-), R70-R79 — Abnormal findings on examination of blood, without diagnosis (R70-R79) (via D69.-), R71 — Abnormality of red blood cells (via D69.-), R73 — Elevated blood glucose level (via D69.-), R74 — Abnormal serum enzyme levels (via D69.-), R75 — Inconclusive laboratory evidence of human immunodeficiency virus [HIV] (via D69.-), R76 — Other abnormal immunological findings in serum (via D69.-), R77 — Other abnormalities of plasma proteins (via D69.-), R78 — Findings of drugs and other substances, not normally found in blood (via D69.-), R79 — Other abnormal findings of blood chemistry (via D69.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Referenced by 21 Code First instructions: T36 — Poisoning by, adverse effect of and underdosing of systemic antibiotics (via D69.-), T36-T39 — Antibiotics & Anti-infectives (T36-T39) (via D69.-), T36-T50 — Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances (T36-T50) (via D69.-), T37 — Poisoning by, adverse effect of and underdosing of other systemic anti-infectives and antiparasitics (via D69.-), T38 — Poisoning by, adverse effect of and underdosing of hormones and their synthetic substitutes and antagonists, not elsewhere classified (via D69.-), T39 — Poisoning by, adverse effect of and underdosing of nonopioid analgesics, antipyretics and antirheumatics (via D69.-), T40 — Poisoning by, adverse effect of and underdosing of narcotics and psychodysleptics [hallucinogens] (via D69.-), T40-T41 — Analgesics & Antipyretics (T40-T41) (via D69.-), T41 — Poisoning by, adverse effect of and underdosing of anesthetics and therapeutic gases (via D69.-), T42 — Poisoning by, adverse effect of and underdosing of antiepileptic, sedative- hypnotic and antiparkinsonism drugs (via D69.-), T42-T43 — Anticonvulsants & Psychotropics (T42-T43) (via D69.-), T43 — Poisoning by, adverse effect of and underdosing of psychotropic drugs, not elsewhere classified (via D69.-), T44 — Poisoning by, adverse effect of and underdosing of drugs primarily affecting the autonomic nervous system (via D69.-), T44-T46 — Cardiovascular & Gastrointestinal (T44-T46) (via D69.-), T45 — Poisoning by, adverse effect of and underdosing of primarily systemic and hematological agents, not elsewhere classified (via D69.-), T46 — Poisoning by, adverse effect of and underdosing of agents primarily affecting the cardiovascular system (via D69.-), T47 — Poisoning by, adverse effect of and underdosing of agents primarily affecting the gastrointestinal system (via D69.-), T47-T50 — Hormones & Systemic Agents (T47-T50) (via D69.-), T48 — Poisoning by, adverse effect of and underdosing of agents primarily acting on smooth and skeletal muscles and the respiratory system (via D69.-), T49 — Poisoning by, adverse effect of and underdosing of topical agents primarily affecting skin and mucous membrane and by ophthalmological, otorhinorlaryngological and dental drugs (via D69.-), +1 more.
Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.
Referenced by 1 Code Also instruction: D68.09 — Other von Willebrand disease (via D69.1.-).
These codes suggest coding this condition alongside when both are present.
Related Codes
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Deficiency, deficient”, “Defect, defective”, “Dysfunction”; these codes share that main term but sit in a different category of the Tabular List.
D68.022 — Von Willebrand disease, type 2M (qualitative, of von Willebrand factor, with, defective platelet adhesion with a normal size distribution of von Willebrand factor multimers), D68.023 — Von Willebrand disease, type 2N (qualitative, of von Willebrand factor, with, markedly decreased affinity for factor VIII), D68.029 — Von Willebrand disease, type 2, unspecified (qualitative, of von Willebrand factor, in von Willebrand factor function, with no further subtyping), D68.03 — Von Willebrand disease, type 3 (von Willebrand factor, total quantitative), D68.1 — Hereditary factor XI deficiency (PTA), D68.2 — Hereditary deficiency of other clotting factors (Hageman), D68.4 — Acquired coagulation factor deficiency (coagulation, acquired), D68.59 — Other primary thrombophilia (protein, S), D68.8 — Other specified coagulation defects (factor, multiple), D68.9 — Coagulation defect, unspecified (coagulation), D71.1 — Leukocyte adhesion deficiency (leukocyte adhesion), D71.8 — Other functional disorders of polymorphonuclear neutrophils (cell membrane receptor complex), D74.0 — Congenital methemoglobinemia (NADH-methemoglobin reductase), D75.89 — Other specified diseases of blood and blood-forming organs (hemoglobin), D75.A — Glucose-6-phosphate dehydrogenase (G6PD) deficiency without anemia (glucose-6-phosphate dehydrogenase, without anemia), D80.0 — Hereditary hypogammaglobulinemia (gammaglobulin in blood, hereditary), D80.1 — Nonfamilial hypogammaglobulinemia (gammaglobulin in blood), D80.2 — Selective deficiency of immunoglobulin A [IgA] (immunity, IgA), D80.3 — Selective deficiency of immunoglobulin G [IgG] subclasses (immunity, IgG), D80.4 — Selective deficiency of immunoglobulin M [IgM] (immunity, IgM), +413 more
Contextual Map
Every relationship of D69.19 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run D69.19 with these 18 related codes in Claim Check
Hierarchy
- D50-D89 — Chapter 3: Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89) (D50-D89)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes
- R23.3 — Spontaneous ecchymoses[Excludes1](via D69.-): “purpura (D69.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes2 notes (10)
- R70 — Elevated erythrocyte sedimentation rate and abnormality of plasma viscosity[Excludes2](via D69.-): “abnormalities of platelets and thrombocytes (D69.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R70-R79 — Abnormal findings on examination of blood, without diagnosis (R70-R79)[Excludes2](via D69.-): “abnormalities of platelets and thrombocytes (D69.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R71 — Abnormality of red blood cells[Excludes2](via D69.-): “abnormalities of platelets and thrombocytes (D69.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R73 — Elevated blood glucose level[Excludes2](via D69.-): “abnormalities of platelets and thrombocytes (D69.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R74 — Abnormal serum enzyme levels[Excludes2](via D69.-): “abnormalities of platelets and thrombocytes (D69.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R75 — Inconclusive laboratory evidence of human immunodeficiency virus [HIV][Excludes2](via D69.-): “abnormalities of platelets and thrombocytes (D69.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R76 — Other abnormal immunological findings in serum[Excludes2](via D69.-): “abnormalities of platelets and thrombocytes (D69.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R77 — Other abnormalities of plasma proteins[Excludes2](via D69.-): “abnormalities of platelets and thrombocytes (D69.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 2 more
Referenced by Code First instructions (21)
- T36 — Poisoning by, adverse effect of and underdosing of systemic antibiotics[Code First](via D69.-): “blood disorders (D56-D76)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T36-T39 — Antibiotics & Anti-infectives (T36-T39)[Code First](via D69.-): “blood disorders (D56-D76)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T36-T50 — Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances (T36-T50)[Code First](via D69.-): “blood disorders (D56-D76)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T37 — Poisoning by, adverse effect of and underdosing of other systemic anti-infectives and antiparasitics[Code First](via D69.-): “blood disorders (D56-D76)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T38 — Poisoning by, adverse effect of and underdosing of hormones and their synthetic substitutes and antagonists, not elsewhere classified[Code First](via D69.-): “blood disorders (D56-D76)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T39 — Poisoning by, adverse effect of and underdosing of nonopioid analgesics, antipyretics and antirheumatics[Code First](via D69.-): “blood disorders (D56-D76)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T40 — Poisoning by, adverse effect of and underdosing of narcotics and psychodysleptics [hallucinogens][Code First](via D69.-): “blood disorders (D56-D76)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T40-T41 — Analgesics & Antipyretics (T40-T41)[Code First](via D69.-): “blood disorders (D56-D76)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 13 more
Referenced by Code Also instructions
- D68.09 — Other von Willebrand disease[Code Also](via D69.1.-): “, if applicable, qualitative platelet defects (D69.1-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Index entries (11)
- Bernard-Soulier disease or thrombopathia[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Defect, defective, platelets, qualitative[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Deficiency, deficient, platelet NEC[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Diacyclothrombopathia[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Disease, diseased, Bernard-Soulier (thrombopathy)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Disorder (of), platelets[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Dysfunction, platelets[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Syndrome, giant platelet (Bernard-Soulier)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- and 3 more
Nearest codes (16)
- D69 — Purpura and other hemorrhagic conditions[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- D69.0 — Allergic purpura[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- D69.1 — Qualitative platelet defects[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- D69.11 — Glanzmann thrombasthenia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- D69.2 — Other nonthrombocytopenic purpura[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- D69.3 — Immune thrombocytopenic purpura[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- D69.4 — Other primary thrombocytopenia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- D69.41 — Evans syndrome[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 8 more
Change history
- FY2027 — Will be added to the code set[Change history]— CMS release files (code change ledger) · icd10cm-fy2027
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Coding guidelines Official source data
- ICD-10-CM Official Guidelines for Coding and Reporting (FY2026), quoted by section Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "D69.19 — Other qualitative platelet defects." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/d69.19-other-qualitative-platelet-defects
Change history
- Upcoming · effective FY2027 — October 1, 2026Will be added to the code setOther qualitative platelet defectsFY2027 changes
Nearest Codes in This Family
Official ICD-10-CM classifications closest to D69.19 in its code family, with their registry titles.
- D69 — Purpura and other hemorrhagic conditions
- D69.0 — Allergic purpura
- D69.1 — Qualitative platelet defects
- D69.11 — Glanzmann thrombasthenia
- D69.2 — Other nonthrombocytopenic purpura
- D69.3 — Immune thrombocytopenic purpura
- D69.4 — Other primary thrombocytopenia
- D69.41 — Evans syndrome
- D69.42 — Congenital and hereditary thrombocytopenia purpura
- D69.49 — Other primary thrombocytopenia