ICD-10-CM 2027
ICD-10 code for purpuric spots
From the official ICD-10-CM alphabetic index entry “Purpuric spots”. Page updated September 29, 2026.
About coding purpuric spots
The ICD-10-CM code for purpuric spots is R23.3 (Spontaneous ecchymoses).
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.
Don't confuse with (Excludes1 for R23.3)
Common questions about purpuric spots ICD-10 codes
What is the ICD-10 code for purpuric spots?
- R23.3 — Spontaneous ecchymoses.
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.