Aplastic and other anemias and other bone marrow failure syndromes
ICD-10 Codes (32)
D61D61.0D61.01D61.02D61.03D61.09D61.1D61.2D61.3D61.8D61.81D61.810D61.811D61.818D61.82D61.89D61.9D62D63D63.0D63.1D63.8D64D64.0D64.1D64.2D64.3D64.4D64.8D64.81D64.89D64.9Updates & Changes
FY 2026 Updates
Deleted Codes
No codes deleted in this range for FY 2026
No significant changes for FY 2026
This range maintains stability with current coding practices
Historical Changes
- •FY 2025: Routine maintenance updates with minor terminology clarifications
- •FY 2024: Enhanced specificity requirements for certain code ranges
- •FY 2023: Updated documentation guidelines for improved clarity
Upcoming Changes
- •Proposed updates pending review by Coordination and Maintenance Committee
- •Under consideration: Enhanced digital health integration codes
Implementation Guidance
- •Review all FY 2026 updates for D60-D64 codes before implementation
- •Always verify the most current codes in the ICD-10-CM manual
- •Ensure clinical documentation supports the selected diagnosis codes
- +3 more guidance items...
Range Overview
The ICD-10 code range D60-D64 is dedicated to aplastic and other anemias and other bone marrow failure syndromes. These codes are used to classify various types of anemia, including aplastic anemia, pure red cell aplasia, and other specified aplastic anemias and bone marrow failure syndromes. The codes provide a systematic way to document and track these conditions for clinical, epidemiological, and quality purposes.
Key Usage Points:
- •Use specific codes for different types of anemia and bone marrow failure syndromes.
- •Identify the cause of the anemia, if known, for more accurate coding.
- •Use additional codes to document any associated conditions or complications.
- •Remember to code chronic or acute forms of conditions separately.
- •Always verify the final code with the ICD-10 manual as updates and changes may occur.
Coding Guidelines
When to Use:
- ✓When a patient is diagnosed with aplastic anemia.
- ✓When a patient has pure red cell aplasia.
- ✓When a patient has other specified aplastic anemias and bone marrow failure syndromes.
- ✓When documenting a patient's medical history of these conditions.
- ✓When a patient is being treated for complications related to these conditions.
When NOT to Use:
- ✗When the patient has a different type of anemia not covered in this range.
- ✗When the patient's anemia is due to another condition (e.g., iron deficiency, vitamin B12 deficiency).
- ✗When the patient has a bone marrow disorder not classified as a failure syndrome.
- ✗When the patient's condition is in remission.
Code Exclusions
Always verify exclusions with the ICD-10 manual to ensure accurate coding.
Documentation Requirements
Proper documentation for codes D60-D64 should include a clear diagnosis, cause of the anemia or bone marrow failure syndrome, any associated conditions or complications, and the chronicity of the condition.
Clinical Information:
- •Specific type of anemia or bone marrow failure syndrome.
- •Cause of the condition, if known.
- •Any associated conditions or complications.
- •Chronicity of the condition (acute vs. chronic).
- •Treatment plan and progress.
Supporting Evidence:
- •Lab results confirming the diagnosis.
- •Medical history and physical examination notes.
- •Imaging studies, if applicable.
- •Notes on patient's response to treatment.
Good Documentation Example:
Patient diagnosed with aplastic anemia due to chemotherapy for breast cancer. Lab results confirm diagnosis. Patient is responding well to treatment.
Poor Documentation Example:
Patient has anemia.
Common Documentation Errors:
- ⚠Not specifying the type of anemia or bone marrow failure syndrome.
- ⚠Not documenting the cause of the condition.
- ⚠Not coding associated conditions or complications.
- ⚠Not indicating the chronicity of the condition.
Range Statistics
Coding Complexity
The complexity of coding for the D60-D64 range is considered medium due to the need to accurately identify the specific type of anemia or bone marrow failure syndrome, the cause of the condition, any associated conditions or complications, and the chronicity of the condition. Additionally, coders must stay updated on changes to the ICD-10 codes.
Key Factors:
- ▸Determining the specific type of anemia or bone marrow failure syndrome.
- ▸Identifying the cause of the condition.
- ▸Coding any associated conditions or complications.
- ▸Determining the chronicity of the condition.
- ▸Staying updated on changes to the ICD-10 codes.
Specialty Focus
The D60-D64 codes are primarily used by hematologists, oncologists, and internal medicine physicians. They are essential for diagnosing, treating, and tracking the progress of patients with aplastic anemia and other bone marrow failure syndromes.
Primary Specialties:
Clinical Scenarios:
- • A patient with aplastic anemia due to chemotherapy for breast cancer.
- • A patient with pure red cell aplasia due to a viral infection.
- • A patient with chronic idiopathic aplastic anemia.
- • A patient with anemia due to bone marrow failure from radiation therapy.
- • A patient with other specified aplastic anemias and bone marrow failure syndromes.
Resources & References
Several resources are available to assist with coding for the D60-D64 range, including the official ICD-10 manual, clinical reference sources, and educational materials.
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting
- National Center for Health Statistics (NCHS)
- Centers for Medicare & Medicaid Services (CMS)
- World Health Organization (WHO)
Clinical References:
- American Society of Hematology
- American Cancer Society
- National Cancer Institute
Educational Materials:
- American Health Information Management Association (AHIMA)
- American Academy of Professional Coders (AAPC)
- Medical Coding Training Books
Frequently Asked Questions
How do I code for aplastic anemia due to chemotherapy?
First, code for the aplastic anemia (D60-D64), then use an additional code (D64.81) to indicate the anemia is due to antineoplastic chemotherapy.