D60-D64 — Aplastic and other anemias and other bone marrow failure syndromes
ICD-10-CM codes D60-D64 cover aplastic and other anemias and other bone marrow failure syndromes, within diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism. The block holds 37 codes across 5 categories, of which 29 are billable and 8 are header codes that cannot be submitted on a claim.
Risk adjustment in D60-D64
0 codes in this block map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded. Under-coding here is money left on the table; over-coding here is what audits are for.
- HCC 109 Acquired Hemolytic, Aplastic, and Sideroblastic Anemias
What else to watch in D60-D64
- 29 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.