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ICD-10-CM 2027 diagnosis code

R23.3Spontaneous ecchymoses

✓ Billable / specific

R23.3 is a valid, billable ICD-10-CM code for spontaneous ecchymoses. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Looking up by condition? See ICD-10 code for Petechia, ICD-10 code for Purpuric spots, ICD-10 code for Cutaneous hemorrhage.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About R23.3

R23.3 is the ICD-10-CM diagnosis code for spontaneous ecchymoses. It belongs to category R23 (other skin changes), block R20-R23 (symptoms and signs involving the skin and subcutaneous tissue) and chapter 18 (symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within R23 (other skin changes), R23.3 is specifically for spontaneous ecchymoses. Related codes cover Cyanosis (R23.0), Pallor (R23.1), Flushing (R23.2), changes in skin texture (R23.4), other skin changes (R23.8) and unspecified skin changes (R23.9).

Don't report R23.3 together with the conditions in its Excludes1 note: ecchymoses of newborn (P54.5) and purpura (D69.-).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 813 (Coagulation Disorders, relative weight 1.5257), in MDC 16 (Diseases and Disorders of the Blood and Blood Forming Organs and Immunological Disorders), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 782.7 (spontaneous ecchymoses).

Coding notes

Applicable toConditions and synonyms classified to this code
  • Petechiae
Excludes1Not coded here — never report together with this code
  • ecchymoses of newborn (P54.5)
  • purpura (D69.-)

Notes that apply from higher levels

Instructions written at a parent level also apply to R23.3.

Broader instructions also apply from R20-R23 Symptoms and signs involving the skin and subcutaneous tissue and Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified.

Alphabetic index entries

10 entries

Terms in the official ICD-10-CM index that lead to R23.3.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 16 · Diseases and Disorders of the Blood and Blood Forming Organs and Immunological Disorders

ICD-9-CM equivalent

Converter →
  • 782.7Spontaneous ecchymosesexact

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about R23.3

Is R23.3 billable?

Yes. R23.3 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can R23.3 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict R23.3 as a principal diagnosis.

Is R23.3 a CC or MCC?

No. R23.3 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does R23.3 group to?

R23.3 is used in the MS-DRG v44.0 logic for MS-DRG 813 (Coagulation Disorders). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for R23.3?

The CMS General Equivalence Mappings map R23.3 to ICD-9-CM 782.7.