2024 ICD-10-CM Diagnosis Code R23.3: Spontaneous ecchymoses

ICD-10-CM Codes
R00-R99
R20-R23
R23-
2024 ICD-10-CM Diagnosis Code R23.3

2024 ICD-10-CM Diagnosis Code R23.3

Spontaneous ecchymoses

2016

2017

2018

2019

2020

2021

2022

2023

2024

Billable/Specific Code

R23.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2024 edition of ICD-10-CM R23.3 became effective on October 1, 2023.
This is the American ICD-10-CM version of R23.3 - other international versions of ICD-10 R23.3 may differ.

Applicable To

Petechiae

Type 1 Excludes

Type 1 Excludes Help

A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as R23.3. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

ecchymoses of newborn (
ICD-10-CM Diagnosis Code P54.5
Neonatal cutaneous hemorrhage
Applicable To
- Neonatal bruising
- Neonatal ecchymoses
- Neonatal petechiae
- Neonatal superficial hematomata
Type 2 Excludes
- bruising of scalp due to birth injury (P12.3)
- cephalhematoma due to birth injury (P12.0)
P54.5
)
purpura (
ICD-10-CM Diagnosis Code D69
- 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 pu...
    - 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
D69.-
)

The following code(s) above R23.3 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 R23.3:

R00-R99
2024 ICD-10-CM Range R00-R99
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Note
- This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
- Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
- The conditions and signs or symptoms included in categories R00-R94 consist of:
- (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
- (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
- (c) provisional diagnosis in a patient who failed to return for further investigation or care;
- (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
- (e) cases in which a more precise diagnosis was not available for any other reason;
- (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
Type 2 Excludes
- abnormal findings on antenatal screening of mother (O28.-)
- certain conditions originating in the perinatal period (P04-P96)
- signs and symptoms classified in the body system chapters
- signs and symptoms of breast (N63, N64.5)
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
R20-R23
2024 ICD-10-CM Range R20-R23
Symptoms and signs involving the skin and subcutaneous tissue
Type 2 Excludes
- symptoms relating to breast (N64.4-N64.5)
Symptoms and signs involving the skin and subcutaneous tissue

Approximate Synonyms

Ecchymoses, spontaneous
Petechiae
Spontaneous ecchymosis

Clinical Information

Pinhead size (3 mm) skin discolorization due to hemorrhage.
Pinpoint, flat, round red spots under the skin caused by bleeding
Pinpoint, unraised, round red spots under the skin caused by bleeding.
Purple or red pinpoint spots in the skin or mucous membranes caused by minor hemorrhage.

ICD-10-CM R23.3 is grouped within Diagnostic Related Group(s) (MS-DRG v41.0):

813 Coagulation disorders

Convert R23.3 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
2021 (effective 10/1/2020): No change
2022 (effective 10/1/2021): No change
2023 (effective 10/1/2022): No change
2024 (effective 10/1/2023): No change

Diagnosis Index entries containing back-references to R23.3:

Change(s) (in) (of) - see also Removal
- skin R23.9
  ICD-10-CM Diagnosis Code R23.9
  Unspecified skin changes
  2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code
  - petechiae R23.3
Cutaneous - see also condition
- hemorrhage R23.3
Ecchymosis R58
ICD-10-CM Diagnosis Code R58
Hemorrhage, not elsewhere classified
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)
- spontaneous R23.3
Hemorrhage, hemorrhagic (concealed) R58
ICD-10-CM Diagnosis Code R58
Hemorrhage, not elsewhere classified
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)
- cutaneous R23.3
- petechial R23.3
- skin R23.3
- subcutaneous R23.3
Petechia, petechiae R23.3
Purpuric spots R23.3
Spots, spotting (in) (of)
- purpuric R23.3

ICD-10-CM Codes Adjacent To R23.3

R22.4 Localized swelling, mass and lump, lower limb

R22.40 Localized swelling, mass and lump, unspecified lower limb

R22.41 Localized swelling, mass and lump, right lower limb

R22.42 Localized swelling, mass and lump, left lower limb

R22.43 …… bilateral

R22.9 Localized swelling, mass and lump, unspecified

R23 Other skin changes

R23.0 Cyanosis

R23.1 Pallor

R23.2 Flushing

R23.3 Spontaneous ecchymoses

R23.4 Changes in skin texture

R23.8 Other skin changes

R23.9 Unspecified skin changes

R25 Abnormal involuntary movements

R25.0 Abnormal head movements

R25.1 Tremor, unspecified

R25.2 Cramp and spasm

R25.3 Fasciculation

R25.8 Other abnormal involuntary movements

R25.9 Unspecified abnormal involuntary movements

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

2024 ICD-10-CM Diagnosis Code R23.3

Spontaneous ecchymoses

Neonatal cutaneous hemorrhage

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

Symptoms and signs involving the skin and subcutaneous tissue

Unspecified skin changes

Hemorrhage, not elsewhere classified

Hemorrhage, not elsewhere classified