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Home/Diagnosis/ICD-10 Coding for Aplastic Anemia

ICD-10 Coding for Aplastic Anemia

D61.0
D61.1
D61.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for aplastic anemia includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Bone Marrow Failure
Pancytopenia
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Key Information: ICD-10 Coding for Aplastic Anemia

Essential facts and insights about ICD-10 Coding for Aplastic Anemia

Use ICD-10 code D61.0 for aplastic anemia due to drugs, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Aplastic anemia due to drugs

Non-Billable
D61.0
Non-Billable

Diagnostic Criteria

  • • Confirmed drug exposure with bone marrow biopsy showing hypocellularity.

Applicable To

  • • Aplastic anemia due to benzene
  • • Aplastic anemia due to chloramphenicol

Important Notes

  • • Ensure documentation specifies the drug or chemical responsible for the anemia.

Aplastic anemia due to radiotherapy/chemotherapy

Billable Code
D61.1
Billable

Diagnostic Criteria

  • • Bone marrow biopsy showing hypocellularity
  • • History of chemotherapy or radiotherapy

Applicable To

  • • Aplastic anemia due to chemotherapy
  • • Aplastic anemia due to radiotherapy

Important Notes

  • • Sequence the anemia code first, followed by the malignancy and adverse effect codes.

Unspecified aplastic anemia

Billable Code
D61.9
Billable

Diagnostic Criteria

  • • Bone marrow biopsy showing hypocellularity
  • • No identifiable cause documented

Applicable To

  • • Aplastic anemia NOS

Important Notes

  • • Query the provider if the cause of anemia is unclear.
Ancillary Codes

Additional codes that may be used with this diagnosis

T45.1X5A

Adverse effect of antineoplastic/immunosuppressive drugs

Use when documenting adverse effects related to drug-induced aplastic anemia.

Cxx.x

Code for the underlying malignancy

Use to document the primary cancer diagnosis.

Frequently Asked Questions

What is the ICD-10 code for aplastic anemia?

The ICD-10 code for unspecified aplastic anemia is D61.9. Specific causes like drug-induced or chemotherapy-induced anemia have codes D61.0 and D61.1 respectively.

How do you code chemotherapy-induced aplastic anemia?

For chemotherapy-induced aplastic anemia, use code D61.1, and include additional codes for the malignancy and adverse effects.

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