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ICD-10 Guide
ICD-10 CodesD61.8

D61.8

Billable

Other specified aplastic anemias and other bone marrow failure syndromes

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D61.8 is a billable code used to indicate a diagnosis of other specified aplastic anemias and other bone marrow failure syndromes.

Key Diagnostic Point:

D61.8 encompasses a variety of conditions characterized by the failure of the bone marrow to produce adequate blood cells, leading to aplastic anemia and other related syndromes. Aplastic anemia is a rare but serious disorder where the bone marrow fails to produce sufficient amounts of red blood cells, white blood cells, and platelets, resulting in symptoms such as fatigue, increased risk of infections, and bleeding tendencies. This condition can be acquired through exposure to certain chemicals, drugs, or infections, or it may be idiopathic, with no known cause. Other bone marrow failure syndromes included under this code may involve genetic disorders or secondary effects from other diseases. The clinical management of these conditions often requires a multidisciplinary approach, including hematology, oncology, and supportive care to manage symptoms and complications. Accurate diagnosis and coding are crucial for appropriate treatment and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (acquired vs. genetic)
  • Differentiation from other types of anemia
  • Need for comprehensive patient history
  • Potential for overlapping symptoms with other hematological disorders

Audit Risk Factors

  • Inadequate documentation of the underlying cause
  • Failure to specify the type of aplastic anemia
  • Misclassification of anemia types
  • Lack of supporting lab results

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed patient history, lab results, and treatment plans.

Common Clinical Scenarios

Diagnosis of aplastic anemia, management of bone marrow failure syndromes.

Billing Considerations

Ensure all relevant lab tests and patient symptoms are documented to support coding.

Oncology

Documentation Requirements

Comprehensive treatment records, including chemotherapy and transfusion details.

Common Clinical Scenarios

Management of secondary aplastic anemia due to cancer treatments.

Billing Considerations

Document any malignancies that may contribute to bone marrow failure.

Coding Guidelines

Inclusion Criteria

Use D61.8 When
  • According to ICD
  • 10 coding guidelines, D61
  • 8 should be used when the specific type of aplastic anemia or bone marrow failure syndrome is not classified elsewhere
  • Coders must ensure that the documentation supports the diagnosis and that any underlying causes are clearly identified

Exclusion Criteria

Do NOT use D61.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

Used to monitor blood cell levels in patients with aplastic anemia.

Documentation Requirements

Document the reason for the CBC and any relevant symptoms.

Specialty Considerations

Hematologists should ensure that all relevant lab results are included in the patient's record.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of aplastic anemia and related conditions, improving the accuracy of diagnoses and treatment tracking. D61.8 provides a broader classification for conditions that may not fit neatly into other categories, enhancing clinical understanding and management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of aplastic anemia and related conditions, improving the accuracy of diagnoses and treatment tracking. D61.8 provides a broader classification for conditions that may not fit neatly into other categories, enhancing clinical understanding and management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of aplastic anemia and related conditions, improving the accuracy of diagnoses and treatment tracking. D61.8 provides a broader classification for conditions that may not fit neatly into other categories, enhancing clinical understanding and management.

Resources

Clinical References

  • •
    Aplastic Anemia & MDS International Foundation

Coding & Billing References

  • •
    Aplastic Anemia & MDS International Foundation

Frequently Asked Questions

What is the difference between D61.8 and D61.1?

D61.8 is used for other specified aplastic anemias that do not fall under the more specific category of drug-induced aplastic anemia, which is coded as D61.1.