D64Not billable, use a more specific code below

Other anemias

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

8 billable codes under D64: none are a CC or MCC; 4 map to HCC 109 (Acquired Hemolytic, Aplastic, and Sideroblastic Anemias).An HCC counts toward a Medicare Advantage patient's risk score.

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Instructional notes

Excludes1: not coded here, use a different code

  • refractory anemia (D46.-)
  • refractory anemia with excess blasts in transformation [RAEB T] (C92.0-)

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)

D64 MS-DRGs

As the principal diagnosis, all 8 billable codes under D64 group to MS-DRG 811 or 812 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to D64

Notes on these codes point to D64.

  • M90.5 Code First: hemoglobinopathy (D50-D64)
  • O99.0 Includes: Conditions in D50-D64
  • R71 Excludes1: anemias (D50-D64)

About the condition

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

Anemia

If you have anemia, your blood does not carry enough oxygen to the rest of your body. The most common cause of anemia is not having enough iron. Your body needs iron to make hemoglobin. Hemoglobin is an iron-rich protein that gives the red color to blood. It carries oxygen from the lungs to the rest of the body.

Read more about anemia on MedlinePlus

Code history

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