- ICD-10-CM Codes ›
- R00-R99 ›
- R20-R23 ›
- R23- ›
- 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 reimbursem*nt 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
P54.5)Neonatal cutaneous hemorrhage
- 2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code Code on Newborn Record
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)
- purpura (
ICD-10-CM Diagnosis Code D69
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 Purpura and other hemorrhagic conditions
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 classifiedSymptoms, 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)
- R20-R23
2024 ICD-10-CM Range R20-R23
Symptoms and signs involving the skin and subcutaneous tissueSymptoms and signs involving the skin and subcutaneous tissue
Type 2 Excludes
- symptoms relating to breast (N64.4-N64.5)
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
- Cutaneous - see also condition
- Ecchymosis R58
ICD-10-CM Diagnosis Code R58
Hemorrhage, not elsewhere classified
- 2016 2017 2018 2019 2020 2021 2022 2023 2024 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)
- Hemorrhage, hemorrhagic (concealed) R58
ICD-10-CM Diagnosis Code R58
Hemorrhage, not elsewhere classified
- 2016 2017 2018 2019 2020 2021 2022 2023 2024 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)
- Petechia, petechiae R23.3
- Purpuric spots R23.3
- Spots, spotting (in) (of)
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
Reimbursem*nt claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
