Aplastic and other anemias and other bone marrow failure syndromes (D60-D64)
D60Acquired pure red cell aplasia [erythroblastopenia]
Includes: red cell aplasia (acquired) (adult) (with thymoma)
Excludes 1: congenital red cell aplasia (D61.01)
D60.0Chronic acquired pure red cell aplasia
D60.1Transient acquired pure red cell aplasia
D60.8Other acquired pure red cell aplasias
D60.9Acquired pure red cell aplasia, unspecified
D61Other aplastic anemias and other bone marrow failure syndromes
Excludes 2: neutropenia (D70.-)
D61.0Constitutional aplastic anemia
D61.01Constitutional (pure) red blood cell aplasia
› Blackfan-Diamond syndrome
› Congenital (pure) red cell aplasia
› Familial hypoplastic anemia
› Primary (pure) red cell aplasia
› Red cell (pure) aplasia of infants
Excludes 1: acquired red cell aplasia (D60.9)
D61.02Shwachman-Diamond syndrome
Code Also: , if applicable, associated conditions such as:
› acute myeloblastic leukemia (C92.0-)
› exocrine pancreatic insufficiency (K86.81)
› myelodysplastic syndrome (D46.-)
Use Additional Code: code, if applicable, for genetic susceptibility to other malignant neoplasm (Z15.09)
D61.09Other constitutional aplastic anemia
› Fanconi's anemia
› Pancytopenia with malformations
D61.1Drug-induced aplastic anemia
Use Additional Code: code for adverse effect, if applicable, to identify drug (T36-T50) with fifth or sixth character 5)
D61.2Aplastic anemia due to other external agents
Code First: , if applicable, toxic effects of substances chiefly nonmedicinal as to source (T51-T65)
D61.3Idiopathic aplastic anemia
D61.8Other specified aplastic anemias and other bone marrow failure syndromes
D61.81Pancytopenia
Excludes 1: pancytopenia (due to) (with) aplastic anemia (D61.9)
› pancytopenia (due to) (with) bone marrow infiltration (D61.82)
› pancytopenia (due to) (with) congenital (pure) red cell aplasia (D61.01)
› pancytopenia (due to) (with) hairy cell leukemia (C91.4-)
› pancytopenia (due to) (with) human immunodeficiency virus disease (B20.-)
› pancytopenia (due to) (with) leukoerythroblastic anemia (D61.82)
› pancytopenia (due to) (with) myeloproliferative disease (D47.1)
Excludes 2: pancytopenia (due to) (with) myelodysplastic syndromes (D46.-)
D61.810Antineoplastic chemotherapy induced pancytopenia
Excludes 2: aplastic anemia due to antineoplastic chemotherapy (D61.1)
D61.811Other drug-induced pancytopenia
Excludes 2: aplastic anemia due to drugs (D61.1)
D61.818Other pancytopenia
D61.82Myelophthisis
› Leukoerythroblastic anemia
› Myelophthisic anemia
› Panmyelophthisis
Code Also: the underlying disorder, such as:
› malignant neoplasm of breast (C50.-)
› tuberculosis (A15.-)
Excludes 1: idiopathic myelofibrosis (D47.1)
› myelofibrosis NOS (D75.81)
› myelofibrosis with myeloid metaplasia (D47.4)
› primary myelofibrosis (D47.1)
› secondary myelofibrosis (D75.81)
D61.89Other specified aplastic anemias and other bone marrow failure syndromes
D61.9Aplastic anemia, unspecified
› Hypoplastic anemia NOS
› Medullary hypoplasia
D62Acute posthemorrhagic anemia
Excludes 1: anemia due to chronic blood loss (D50.0)
› blood loss anemia NOS (D50.0)
› congenital anemia from fetal blood loss (P61.3)
D63Anemia in chronic diseases classified elsewhere
D63.0Anemia in neoplastic disease
Code First: neoplasm (C00-D49)
Excludes 1: aplastic anemia due to antineoplastic chemotherapy (D61.1)
Excludes 2: anemia due to antineoplastic chemotherapy (D64.81)
D63.1Anemia in chronic kidney disease
› Erythropoietin resistant anemia (EPO resistant anemia)
Code First: underlying chronic kidney disease (CKD) (N18.-)
D63.8Anemia in other chronic diseases classified elsewhere
Code First: underlying disease, such as:
› diphyllobothriasis (B70.0)
› hookworm disease (B76.0-B76.9)
› hypothyroidism (E00.0-E03.9)
› malaria (B50.0-B54)
› symptomatic late syphilis (A52.79)
› tuberculosis (A18.89)
D64Other anemias
Excludes 1: refractory anemia (D46.-)
› refractory anemia with excess blasts in transformation [RAEB T] (C92.0-)
D64.0Hereditary sideroblastic anemia
› Sex-linked hypochromic sideroblastic anemia
D64.1Secondary sideroblastic anemia due to disease
Code First: underlying disease
D64.2Secondary sideroblastic anemia due to drugs and toxins
Code First: poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
Use Additional Code: code for adverse effect, if applicable, to identify drug (T36-T50) with fifth or sixth character 5)
D64.3Other sideroblastic anemias
› Sideroblastic anemia NOS
› Pyridoxine-responsive sideroblastic anemia NEC
D64.4Congenital dyserythropoietic anemia
› Dyshematopoietic anemia (congenital)
Excludes 1: Blackfan-Diamond syndrome (D61.01)
› Di Guglielmo's disease (C94.0)
D64.8Other specified anemias
D64.81Anemia due to antineoplastic chemotherapy
› Antineoplastic chemotherapy induced anemia
Excludes 2: anemia in neoplastic disease (D63.0)
› aplastic anemia due to antineoplastic chemotherapy (D61.1)
D64.89Other specified anemias
› Infantile pseudoleukemia
D64.9Anemia, unspecified