ICD Code R23.3

ICD code R23.3 is spontaneous ecchymoses, which refers to unexplained or sudden bruising of the skin without an obvious cause such as injury.

1. Presence of purplish or bluish skin discolorations (ecchymoses) that appear without any identifiable trauma or injury

2. Absence of a known underlying bleeding disorder or coagulopathy

3. No recent history of medical procedures, injections, or blood draws at the affected site

4. No evidence of external force, abuse, or accidental injury

5. Ecchymoses are not attributable to medication side effects (e.g., anticoagulants, antiplatelet agents)

6. Physical examination confirms spontaneous appearance of lesions

7. Patient history does not suggest alternative causes such as vasculitis, platelet disorders, or connective tissue diseases

Relevant CPT codes that may be used to treat ICD code R23.3 include:

- 99202–99215 (Evaluation and Management services, new or established patient)

- 36415 (Collection of venous blood by venipuncture)

- 85025 (Complete blood count with automated differential WBC count)

- 85610 (Prothrombin time)

- 85730 (Partial thromboplastin time)

- 87070 (Culture, bacterial; any other source except urine, blood or stool)

- 88305 (Pathology examination of tissue biopsy, if indicated)

- 11102–11107 (Skin biopsy, if indicated)

- 96372 (Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular)

CPT code selection should be based on the specific services provided for ICD code R23.3.

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