D53.1
D53.1: Other megaloblastic anemias, not elsewhere classified
Billable / specific codeICD-10-CM
D53.1 is a billable, specific ICD-10-CM code for other megaloblastic anemias, not elsewhere classified. It is valid for submission on a claim.
Check D53.1 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.
- Di Guglielmo's disease (C94.0)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Megaloblastic anemia NOS
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
D53.1 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56416Billing and Coding: Assays for Vitamins and Metabolic Function
- A56464Billing and Coding: Flow Cytometry
- A56675Billing and Coding: Homocysteine Level, Serum
- A57188Billing and Coding: Routine Foot Care
Alphabetic index entries that lead here
- Megalocytic anemia
- Anemia›achrestic
- Anemia›dimorphic
- Anemia›diphasic
- Anemia›megaloblastic
- Anemia›megalocytic
- Anemia›deficiency›combined B12 and folate
- Anemia›megaloblastic›combined B12 and folate deficiency
- Anemia›megaloblastic›refractory
- Anemia›megaloblastic›specified type NEC
- Anemia›refractory›megaloblastic
Code history
Unchanged in every release from FY2024 to FY2027.