2020 ICD-10-CM Diagnosis Code D69.3

Immune thrombocytopenic purpura

    2016 2017 2018 2019 2020 Billable/Specific Code
  • D69.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM D69.3 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of D69.3 - other international versions of ICD-10 D69.3 may differ.
Applicable To
  • Hemorrhagic (thrombocytopenic) purpura
  • Idiopathic thrombocytopenic purpura
  • Tidal platelet dysgenesis
The following code(s) above D69.3 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to D69.3:
  • D50-D89
    2020 ICD-10-CM Range D50-D89

    Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism

    Type 2 Excludes
    • autoimmune disease (systemic) NOS (M35.9)
    • certain conditions originating in the perinatal period (P00-P96)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • human immunodeficiency virus [HIV] disease (B20)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
  • D69
    ICD-10-CM Diagnosis Code D69

    Purpura and other hemorrhagic conditions

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • benign hypergammaglobulinemic purpura (D89.0)
    • cryoglobulinemic purpura (D89.1)
    • essential (hemorrhagic) thrombocythemia (D47.3)
    • hemorrhagic thrombocythemia (D47.3)
    • purpura fulminans (D65)
    • thrombotic thrombocytopenic purpura (M31.1)
    • Waldenström hypergammaglobulinemic purpura (D89.0)
    Purpura and other hemorrhagic conditions
Approximate Synonyms
  • Acute idiopathic thrombocytopenic purpura
  • Chronic idiopathic thrombocytopenic purpura
  • Idiopathic thrombocytopenia purpura (itp)
  • Idiopathic thrombocytopenic purpura
  • Idiopathic thrombocytopenic purpura, chronic
  • Purpura, idiopathic thrombocytopenia, acute
Clinical Information
  • A condition in which platelets (blood cells that cause blood clots to form) are destroyed by the immune system. The low platelet count causes easy bruising and bleeding, which may be seen as purple areas in the skin, mucous membranes, and outer linings of organs.
  • An autoimmune disorder in which the number of circulating platelets is reduced due to their antibody-mediated destruction. Itp is a diagnosis of exclusion and is heterogeneous in origin.
  • Bleeding or bruising tendency due to low platelet level
  • Thrombocytopenia occurring in the absence of toxic exposure or a disease associated with decreased platelets. It is mediated by immune mechanisms, in most cases immunoglobulin g autoantibodies which attach to platelets and subsequently undergo destruction by macrophages. The disease is seen in acute (affecting children) and chronic (adult) forms.
ICD-10-CM D69.3 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 813 Coagulation disorders

Convert D69.3 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to D69.3:
  • Type 1 Excludes: D69.0
    ICD-10-CM Diagnosis Code D69.0

    Allergic purpura

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Allergic vasculitis
    • Nonthrombocytopenic hemorrhagic purpura
    • Nonthrombocytopenic idiopathic purpura
    • Purpura anaphylactoid
    • Purpura Henoch(-Schönlein)
    • Purpura rheumatica
    • Vascular purpura
    Type 1 Excludes
    • thrombocytopenic hemorrhagic purpura (D69.3)

Diagnosis Index entries containing back-references to D69.3:
  • Dysgenesis
    • tidal platelet D69.3
  • Frank's essential thrombocytopenia D69.3
  • Hemorrhage, hemorrhagic (concealed) R58
    ICD-10-CM Diagnosis Code R58

    Hemorrhage, not elsewhere classified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Hemorrhage NOS
    Type 1 Excludes
    • hemorrhage included with underlying conditions, such as:
    • acute duodenal ulcer with hemorrhage (K26.0)
    • acute gastritis with bleeding (K29.01)
    • ulcerative enterocolitis with rectal bleeding (K51.01)
    • purpura D69.3 (primary)
  • Purpura D69.2
    ICD-10-CM Diagnosis Code D69.2

    Other nonthrombocytopenic purpura

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Purpura NOS
    • Purpura simplex
    • Senile purpura
    • hemorrhagic, hemorrhagica D69.3
    • idiopathic (thrombocytopenic) D69.3
    • thrombocytopenic D69.49
      ICD-10-CM Diagnosis Code D69.49

      Other primary thrombocytopenia

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Megakaryocytic hypoplasia
      • Primary thrombocytopenia NOS
      • hemorrhagic D69.3
      • idiopathic D69.3
      • immune D69.3
    • immune thrombocytopenic D69.3
  • Thrombocytopenia, thrombocytopenic D69.6
    ICD-10-CM Diagnosis Code D69.6

    Thrombocytopenia, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    • primary NEC D69.49
      ICD-10-CM Diagnosis Code D69.49

      Other primary thrombocytopenia

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Megakaryocytic hypoplasia
      • Primary thrombocytopenia NOS
      • idiopathic D69.3
    • essential D69.3
    • idiopathic D69.3
  • Werlhof's disease D69.3

ICD-10-CM Codes Adjacent To D69.3
D68.6 Other thrombophilia
D68.61 Antiphospholipid syndrome
D68.62 Lupus anticoagulant syndrome
D68.69 Other thrombophilia
D68.8 Other specified coagulation defects
D68.9 Coagulation defect, unspecified
D69 Purpura and other hemorrhagic conditions
D69.0 Allergic purpura
D69.1 Qualitative platelet defects
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
D69.5 Secondary thrombocytopenia
D69.51 Posttransfusion purpura
D69.59 Other secondary thrombocytopenia
D69.6 Thrombocytopenia, unspecified
D69.8 Other specified hemorrhagic conditions
D69.9 Hemorrhagic condition, unspecified

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.