D63.0 — Anemia in neoplastic disease
D63.0 is a billable, specific ICD-10-CM code for anemia in neoplastic disease. 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.
- aplastic anemia due to antineoplastic chemotherapy (D61.1)
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- anemia due to antineoplastic chemotherapy (D64.81)
Code first
The underlying condition must be sequenced before this code.
Risk adjustment
D63.0 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
D63.0 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.
- A55717Billing and Coding: Lab: Flow Cytometry
- A56464Billing and Coding: Flow Cytometry
- A57110Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
- A57124Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
How D63.0 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 D63.0.
- Anemia›in›neoplastic disease
Related codes at this level
Codes that share D63. If D63.0 is not quite right, the correct code is usually one of these.
Questions about D63.0
- Is D63.0 a billable ICD-10-CM code?
- Yes. D63.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D63.0 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).
- What cannot be coded together with D63.0?
- D63.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.