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ICD-10 Guide
ICD-10 CodesD53.8

D53.8

Billable

Other specified nutritional anemias

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

Code Description

ICD-10 D53.8 is a billable code used to indicate a diagnosis of other specified nutritional anemias.

Key Diagnostic Point:

Nutritional anemias encompass a variety of conditions characterized by a deficiency in the number or quality of red blood cells due to inadequate nutritional intake. The ICD-10 code D53.8 specifically refers to other specified nutritional anemias that do not fall under the more common categories of iron deficiency anemia (D50), vitamin B12 deficiency anemia (D51), or folate deficiency anemia (D52). Nutritional anemias can arise from a variety of factors including poor dietary intake, malabsorption syndromes, chronic diseases, or increased physiological demands such as pregnancy. Symptoms may include fatigue, pallor, shortness of breath, and dizziness. Diagnosis typically involves a complete blood count (CBC), reticulocyte count, and specific tests for vitamin and mineral levels. Treatment protocols often include dietary modifications, supplementation of deficient nutrients, and addressing underlying causes. It is crucial for healthcare providers to accurately identify the specific type of nutritional anemia to ensure appropriate management and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of nutritional deficiencies that can lead to anemia.
  • Need for comprehensive patient history to determine specific nutritional causes.
  • Potential overlap with other anemia codes, requiring careful differentiation.
  • Documentation must specify the type of nutritional deficiency.

Audit Risk Factors

  • Inadequate documentation of nutritional status.
  • Failure to specify the type of nutritional deficiency.
  • Lack of supporting lab results for diagnosis.
  • Misclassification of anemia type leading to incorrect coding.

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed lab results, patient dietary history, and treatment plans.

Common Clinical Scenarios

Patients presenting with fatigue and pallor, requiring differential diagnosis of anemia types.

Billing Considerations

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

Nutrition

Documentation Requirements

Comprehensive dietary assessments and nutritional intervention plans.

Common Clinical Scenarios

Patients with malnutrition or dietary restrictions leading to anemia.

Billing Considerations

Document specific dietary deficiencies and recommended dietary changes.

Coding Guidelines

Inclusion Criteria

Use D53.8 When
  • According to ICD
  • 10 guidelines, D53
  • 8 should be used when the anemia is specifically attributed to nutritional deficiencies that are not classified elsewhere
  • Coders must ensure that the documentation supports the diagnosis and that other more specific codes are not applicable

Exclusion Criteria

Do NOT use D53.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with automated differential

Clinical Scenario

Used to evaluate anemia in patients suspected of having nutritional deficiencies.

Documentation Requirements

Document the reason for the CBC and any relevant symptoms.

Specialty Considerations

Hematology specialists should ensure that all relevant lab results are included.

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. D53.8 provides a way to capture cases that do not fit neatly into the more common categories of anemia, improving the accuracy of health records and treatment plans.

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. D53.8 provides a way to capture cases that do not fit neatly into the more common categories of anemia, improving the accuracy of health records and treatment plans.

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. D53.8 provides a way to capture cases that do not fit neatly into the more common categories of anemia, improving the accuracy of health records and treatment plans.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of nutritional anemia?

Common causes include inadequate dietary intake of iron, vitamin B12, or folate, malabsorption syndromes, chronic diseases, and increased physiological demands such as pregnancy.

How can I differentiate between D53.8 and other anemia codes?

D53.8 should be used when the anemia is due to nutritional deficiencies that are not classified under D50, D51, or D52. Documentation must specify the type of nutritional deficiency.