D47.4: Osteomyelofibrosis
D47.4 is a billable, specific ICD-10-CM code for osteomyelofibrosis. It is valid for submission on a claim.
Check D47.4 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- acute myelofibrosis (C94.4-)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Chronic idiopathic myelofibrosis
- Myelofibrosis (idiopathic) (with myeloid metaplasia)
- Myelosclerosis (megakaryocytic) with myeloid metaplasia
- Secondary myelofibrosis in myeloproliferative disease
Other codes that can never be billed with D47.4
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
D47.4 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 19 Myelodysplastic Syndromes, Multiple Myeloma, and Other Cancers1.798 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
D47.4 is named in 30 Medicare coverage policies: 30 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56199Billing and Coding: Molecular Pathology Procedures
- A56464Billing and Coding: Flow Cytometry
- A56793Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
- A56795Billing and Coding: Erythropoiesis Stimulating Agents (ESAs)
Alphabetic index entries that lead here
- Osteomyelofibrosis
- Myelofibrosis›idiopathic(chronic)
- Myelofibrosis›with myeloid metaplasia
- Myelosclerosis›megakaryocytic
- Myelosclerosis›with myeloid metaplasia
- Myelofibrosis›secondary›in myeloproliferative disease
- Myelosclerosis›megakaryocytic›with myeloid metaplasia
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under D47
- D47.0Mast cell neoplasms of uncertain behavior
- D47.1Chronic myeloproliferative disease
- D47.2Monoclonal gammopathy
- D47.3Essential (hemorrhagic) thrombocythemia
- D47.ZOther specified neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue
- D47.9Neoplasm of uncertain behavior of lymphoid, hematopoietic and related tissue, unspecified