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ICD-10 Guide
ICD-10 CodesChapter 3: Diseases of the blood and blood-forming organsD53

D53

Billable

Other nutritional anemias

Chapter 3:Diseases of the blood and blood-forming organs

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

Code Description

ICD-10 D53 is a billable code used to indicate a diagnosis of other nutritional anemias.

Key Diagnostic Point:

Other nutritional anemias (ICD-10 code D53) encompass a variety of anemic conditions that arise due to deficiencies in essential nutrients other than iron, vitamin B12, or folate. These anemias can result from inadequate dietary intake, malabsorption syndromes, or increased physiological demands. Common causes include deficiencies in vitamins such as riboflavin, niacin, and vitamin C, as well as minerals like copper and zinc. Clinically, patients may present with symptoms such as fatigue, pallor, weakness, and shortness of breath. Diagnosis typically involves a thorough patient history, dietary assessment, and laboratory tests to evaluate hemoglobin levels, red blood cell indices, and specific nutrient levels. Treatment protocols often include dietary modifications, supplementation of the deficient nutrients, and addressing any underlying conditions contributing to malabsorption. It is crucial for healthcare providers to recognize the multifactorial nature of nutritional anemias to ensure appropriate management and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying nutritional deficiencies
  • Need for comprehensive dietary history and assessment
  • Differentiation from other types of anemia (e.g., iron deficiency, B12 deficiency)
  • Potential overlap with other ICD-10 codes

Audit Risk Factors

  • Inadequate documentation of dietary history
  • Failure to specify the type of nutritional deficiency
  • Misclassification of anemia type
  • Lack of supporting lab results

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed lab results, dietary assessments, and clinical evaluations.

Common Clinical Scenarios

Patients presenting with unexplained anemia, requiring comprehensive evaluation for nutritional causes.

Billing Considerations

Ensure all relevant lab tests are documented to support the diagnosis of nutritional anemia.

Nutrition/Dietetics

Documentation Requirements

Nutritional assessments, dietary logs, and recommendations for dietary changes.

Common Clinical Scenarios

Patients with chronic illnesses or malabsorption syndromes requiring nutritional intervention.

Billing Considerations

Collaboration with other specialties to ensure comprehensive care and accurate coding.

Coding Guidelines

Inclusion Criteria

Use D53 When
  • According to the official coding guidelines, D53 should be used when the anemia is specifically attributed to nutritional deficiencies other than iron, vitamin B12, or folate
  • Coders must ensure that the documentation clearly supports the diagnosis and that any related conditions are also coded appropriately

Exclusion Criteria

Do NOT use D53 When
No specific exclusions found.

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

Used to evaluate anemia and determine the need for further testing.

Documentation Requirements

Document the reason for the CBC and any relevant clinical findings.

Specialty Considerations

Hematology specialists may require additional tests based on CBC results.

84520CPT Code

Serum iron studies

Clinical Scenario

Ordered to assess iron levels in patients with suspected iron deficiency anemia.

Documentation Requirements

Document the clinical rationale for ordering iron studies.

Specialty Considerations

Ensure that results are interpreted in the context of the patient's overall clinical picture.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of nutritional anemias, enabling better tracking of these conditions and their causes. This specificity aids in research and quality improvement initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nutritional anemias, enabling better tracking of these conditions and their causes. This specificity aids in research and quality improvement initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of nutritional anemias, enabling better tracking of these conditions and their causes. This specificity aids in research and quality improvement initiatives.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting
  • •
    Nutritional Anemia: A Review

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting
  • •
    Nutritional Anemia: A Review

Frequently Asked Questions

What are the common causes of other nutritional anemias?

Common causes include deficiencies in vitamins such as riboflavin, niacin, and vitamin C, as well as minerals like copper and zinc, often due to inadequate dietary intake or malabsorption.

How can I differentiate between D53 and other anemia codes?

D53 should be used when the anemia is specifically due to nutritional deficiencies other than iron, B12, or folate. Ensure that lab results and clinical documentation support the diagnosis.