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v1.0.0
ICD-10 Guide
ICD-10 CodesD64.89

D64.89

Billable

Other specified anemias

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

Code Description

ICD-10 D64.89 is a billable code used to indicate a diagnosis of other specified anemias.

Key Diagnostic Point:

D64.89 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 adequate blood cells, leading to a deficiency in red blood cells, white blood cells, and platelets. Aplastic anemia can be acquired due to factors such as exposure to toxins, certain medications, or viral infections. Bone marrow failure syndromes, which may also be classified under this code, involve a range of hematopoietic disorders that result in insufficient production of blood cells. These conditions can be hereditary or acquired and may present with symptoms such as fatigue, pallor, and increased susceptibility to infections. Other specified anemias may also include conditions like anemia of chronic disease, where inflammation or chronic illness leads to impaired iron utilization and reduced erythropoiesis. Accurate coding requires a thorough understanding of the underlying causes and clinical presentations of these anemias, as they can significantly impact treatment and management strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to anemia
  • Differentiation between acquired and hereditary forms
  • Need for comprehensive patient history and lab results
  • Potential overlap with other anemia codes

Audit Risk Factors

  • Inadequate documentation of the specific type of anemia
  • Failure to link anemia to underlying conditions
  • Misclassification of anemia type
  • Lack of supporting lab results

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed lab results, patient history, and treatment plans must be documented.

Common Clinical Scenarios

Diagnosis and management of aplastic anemia, evaluation of bone marrow function.

Billing Considerations

Ensure that all relevant tests (e.g., CBC, bone marrow biopsy) are documented to support the diagnosis.

Internal Medicine

Documentation Requirements

Comprehensive patient history and physical examination findings.

Common Clinical Scenarios

Management of anemia in patients with chronic diseases or infections.

Billing Considerations

Document any chronic conditions that may contribute to anemia for accurate coding.

Coding Guidelines

Inclusion Criteria

Use D64.89 When
  • According to ICD
  • 10 guidelines, D64
  • 89 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

Exclusion Criteria

Do NOT use D64.89 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 severity and type.

Documentation Requirements

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

Specialty Considerations

Hematologists may require additional tests to confirm diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of anemias, enabling better tracking of various hematologic disorders. D64.89 provides a means to capture less common anemias that may not have been adequately represented in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of anemias, enabling better tracking of various hematologic disorders. D64.89 provides a means to capture less common anemias that may not have been adequately represented in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of anemias, enabling better tracking of various hematologic disorders. D64.89 provides a means to capture less common anemias that may not have been adequately represented in ICD-9.

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 is the difference between D64.89 and other anemia codes?

D64.89 is used for anemias that are specified but do not fit into more common categories, such as iron deficiency or vitamin deficiency anemias. It requires careful documentation of the underlying cause.