All ICD10 Codes
D61Not billable, use a more specific code below

Other aplastic anemias and other bone marrow failure syndromes

In Aplastic and other anemias and other bone marrow failure syndromes (D60-D64), chapter 3: Diseases of the Blood and Blood-Forming Organs

13 billable codes under D61: 6 are an MCC, 7 are a CC; 9 map to HCC 109 (Acquired Hemolytic, Aplastic, and Sideroblastic Anemias).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.

Advertisements

Instructional notes

Excludes2: not included here, code separately if applicable

  • neutropenia (D70.-)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

There are no chapter-specific rules for Chapter 3 yet, so the general rules in Section I.B apply.

Read Section I.C.3 (page 39)

All codes under D61

D61 can't be used on a claim. Pick a billable code below; grey headings group them.

D61 MS-DRGs

As the principal diagnosis, the billable codes under D61 group to these 12 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Aplastic Anemia

Aplastic anemia is a rare but serious blood disorder. If you have it, your bone marrow doesn't make enough new blood cells. It happens when there is damage to stem cells inside your bone marrow. There are different types of aplastic anemia, including Fanconi anemia.

Read more about aplastic anemia on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.