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v1.0.0
ICD-10 Guide
ICD-10 CodesD64.8

D64.8

Billable

Other specified anemias

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

Code Description

ICD-10 D64.8 is a billable code used to indicate a diagnosis of other specified anemias.

Key Diagnostic Point:

D64.8 encompasses various forms of anemia that do not fall under the more commonly classified categories. This includes aplastic anemia, which is characterized by the failure of the bone marrow to produce sufficient blood cells, leading to a deficiency in red blood cells, white blood cells, and platelets. Aplastic anemia can be acquired through exposure to certain chemicals, medications, or infections, and may also be idiopathic. Bone marrow failure syndromes, which can be hereditary or acquired, also fall under this category, leading to similar hematological deficiencies. Other acquired anemias, such as those resulting from chronic diseases, nutritional deficiencies, or autoimmune disorders, may also be coded under D64.8. The complexity of diagnosing and coding these conditions arises from the need for thorough clinical evaluation and documentation to determine the underlying cause of the anemia, which can significantly influence treatment and management strategies.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variety of underlying causes requiring detailed documentation
  • Differentiation from other types of anemia
  • Potential for overlapping symptoms with other hematological disorders
  • Need for comprehensive patient history and laboratory results

Audit Risk Factors

  • Inadequate documentation of the underlying cause of anemia
  • Failure to specify the type of anemia when applicable
  • Misclassification of anemia types leading to incorrect coding
  • Lack of supporting lab results or clinical findings

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed lab results, patient history, and treatment plans must be documented to support the diagnosis.

Common Clinical Scenarios

Diagnosis and management of aplastic anemia, evaluation of bone marrow failure syndromes, and treatment of acquired anemias.

Billing Considerations

Hematologists must ensure that all relevant tests and patient responses to treatment are documented to justify the use of D64.8.

Internal Medicine

Documentation Requirements

Comprehensive patient history, including medication use and exposure to toxins, along with lab results.

Common Clinical Scenarios

Management of chronic diseases leading to anemia and evaluation of nutritional deficiencies.

Billing Considerations

Internal medicine practitioners should be aware of the potential for multiple causes of anemia and document accordingly.

Coding Guidelines

Inclusion Criteria

Use D64.8 When
  • According to ICD
  • 10 coding guidelines, D64
  • 8 should be used when the specific type of anemia is not classified elsewhere
  • Coders must ensure that the documentation supports the diagnosis and that the underlying cause is clearly identified when possible

Exclusion Criteria

Do NOT use D64.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

Used to evaluate anemia and monitor treatment response.

Documentation Requirements

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

Specialty Considerations

Hematologists may require more detailed CBC results to assess the severity of anemia.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of anemias, including the ability to capture various underlying causes and types of anemia that were previously grouped together in ICD-9. 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 anemias, including the ability to capture various underlying causes and types of anemia that were previously grouped together in ICD-9. 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 anemias, including the ability to capture various underlying causes and types of anemia that were previously grouped together in ICD-9. This specificity aids in better patient management and resource allocation.

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 D64.8?

Common causes include aplastic anemia, bone marrow failure syndromes, and acquired anemias due to chronic diseases or nutritional deficiencies.

How can I ensure accurate coding for D64.8?

Accurate coding requires thorough documentation of the patient's clinical history, lab results, and any underlying conditions contributing to the anemia.