D53.9 — Nutritional anemia, unspecified
D53.9 is a billable, specific ICD-10-CM code for nutritional anemia, unspecified. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- anemia NOS (D64.9)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Simple chronic anemia
Risk adjustment
D53.9 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
D53.9 is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56416Billing and Coding: Assays for Vitamins and Metabolic Function
- A56464Billing and Coding: Flow Cytometry
- A57110Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
- A57124Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
How D53.9 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D53.9.
- Anemia›deficiency
- Anemia›macrocytic
- Anemia›malnutrition
- Anemia›nutritional(deficiency)
- Anemia›simple chronic
- Anemia›chronic›simple
- Anemia›deficiency›nutritional
Related codes at this level
Codes that share D53. If D53.9 is not quite right, the correct code is usually one of these.
Questions about D53.9
- Is D53.9 a billable ICD-10-CM code?
- Yes. D53.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D53.9 sit in the tabular list?
- Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89), in the block Nutritional anemias (D50-D53).
- What cannot be coded together with D53.9?
- D53.9 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.