D46
D46: Myelodysplastic syndromes
Non-billable headerICD-10-CM
D46 is a non-billable header ICD-10-CM code for myelodysplastic syndromes. It cannot be billed on its own: choose one of the more specific child codes below.
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.
- drug-induced aplastic anemia (D61.1)
Use additional code
Add a secondary code to capture the detail described below.
Other codes that can never be billed with D46
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead D46
9 child codes. Green means billable.
- D46.0Refractory anemia without ring sideroblasts, so stated
- D46.1Refractory anemia with ring sideroblasts
- D46.2Refractory anemia with excess of blasts [RAEB]
- D46.ARefractory cytopenia with multilineage dysplasia
- D46.BRefractory cytopenia with multilineage dysplasia and ring sideroblasts
- D46.CMyelodysplastic syndrome with isolated del(5q) chromosomal abnormality
- D46.4Refractory anemia, unspecified
- D46.ZOther myelodysplastic syndromes
- D46.9Myelodysplastic syndrome, unspecified