ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesD64.3

D64.3

Billable

Other sideroblastic anemias

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

Code Description

ICD-10 D64.3 is a billable code used to indicate a diagnosis of other sideroblastic anemias.

Key Diagnostic Point:

Sideroblastic anemia is a heterogeneous group of disorders characterized by the presence of ringed sideroblasts in the bone marrow. These disorders can be inherited or acquired and are marked by ineffective erythropoiesis and the accumulation of iron in the mitochondria of erythroid precursors. The acquired forms can result from various factors, including exposure to toxins, certain medications, or underlying diseases such as myelodysplastic syndromes. Patients typically present with symptoms of anemia, including fatigue, pallor, and weakness. Diagnosis is confirmed through blood tests showing microcytic anemia and a bone marrow biopsy revealing ringed sideroblasts. Treatment may involve addressing the underlying cause, iron chelation therapy, or vitamin B6 supplementation, depending on the specific type of sideroblastic anemia. Understanding the nuances of this condition is crucial for accurate coding and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between inherited and acquired forms
  • Need for detailed laboratory results and bone marrow findings
  • Potential overlap with other types of anemia
  • Variability in treatment approaches based on underlying causes

Audit Risk Factors

  • Inadequate documentation of laboratory results
  • Failure to specify the type of sideroblastic anemia
  • Misclassification with other anemias
  • Lack of clarity on the underlying cause of the anemia

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Comprehensive blood work results, bone marrow biopsy reports, and treatment plans.

Common Clinical Scenarios

Diagnosis and management of sideroblastic anemia in patients with a history of exposure to toxins or medications.

Billing Considerations

Ensure that all laboratory findings are clearly documented to support the diagnosis.

Internal Medicine

Documentation Requirements

Detailed patient history, physical examination findings, and any relevant imaging or lab results.

Common Clinical Scenarios

Evaluation of anemia in patients with chronic diseases or nutritional deficiencies.

Billing Considerations

Document any comorbid conditions that may contribute to anemia.

Coding Guidelines

Inclusion Criteria

Use D64.3 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the type of sideroblastic anemia and any associated conditions
  • Include relevant laboratory findings and treatment plans

Exclusion Criteria

Do NOT use D64.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

Used to evaluate anemia and monitor treatment response.

Documentation Requirements

Document the reason for the CBC and any relevant findings.

Specialty Considerations

Hematologists may require more detailed CBC interpretations.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sideroblastic anemias, improving the accuracy of diagnosis and treatment tracking. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sideroblastic anemias, improving the accuracy of diagnosis and treatment tracking. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sideroblastic anemias, improving the accuracy of diagnosis and treatment tracking. This specificity aids in better patient management and resource allocation.

Resources

Clinical References

  • •
    American Society of Hematology

Coding & Billing References

  • •
    American Society of Hematology

Frequently Asked Questions

What are the common causes of acquired sideroblastic anemia?

Acquired sideroblastic anemia can be caused by exposure to toxins (like lead), certain medications (such as chloramphenicol), alcohol abuse, and underlying diseases like myelodysplastic syndromes.