AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2026 Issue 1; Ask the Editor

Thrombocytopenia and Disseminated Intravascular Coagulation (DIC)

A patient was admitted with both thrombocytopenia and disseminated intravascular coagulation (DIC). There is an Excludes1 note at category D69, Purpura and other hemorrhagic conditions, that excludes “purpura fulminans (D65)” and prohibits the reporting of code D65, Disseminated intravascular coagulation [defibrination syndrome] with code D69.6, Thrombocytopenia, unspecified. However, the Excludes1 note specifies purpura fulminans and not DIC. What is the appropriate code assignment for thrombocytopenia and DIC? ...

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