D61.1 — Drug-induced aplastic anemia
D61.1 is a billable, specific ICD-10-CM code for drug-induced aplastic anemia. It is valid for submission on a claim.
Other codes that can never be billed with D61.1
These codes carry an Excludes1 note pointing at D61.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D61.1 alone.
- D63.0Anemia in neoplastic disease
Risk adjustment
D61.1 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
D61.1 is named in 31 Medicare coverage policies — 31 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52986Billing and Coding: Biomarkers for Oncology
- A55717Billing and Coding: Lab: Flow Cytometry
- A56199Billing and Coding: Molecular Pathology Procedures
- A56462Billing and Coding: Erythropoiesis Stimulating Agents (ESA)
How D61.1 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 D61.1.
- Anemia›aplastic›drug-induced
- Anemia›aplastic›due to›drugs
Related codes at this level
Codes that share D61. If D61.1 is not quite right, the correct code is usually one of these.
Questions about D61.1
- Is D61.1 a billable ICD-10-CM code?
- Yes. D61.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D61.1 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 Aplastic and other anemias and other bone marrow failure syndromes (D60-D64).