D60.9 — Acquired pure red cell aplasia, unspecified
D60.9 is a billable, specific ICD-10-CM code for acquired pure red cell aplasia, unspecified. It is valid for submission on a claim.
Other codes that can never be billed with D60.9
These codes carry an Excludes1 note pointing at D60.9. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D60.9 alone.
- D61.01Constitutional (pure) red blood cell aplasia
Risk adjustment
D60.9 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 109 Acquired Hemolytic, Aplastic, and Sideroblastic Anemias1.144 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.
Medicare coverage
D60.9 is named in 10 Medicare coverage policies — 10 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52986Billing and Coding: Biomarkers for Oncology
- A55717Billing and Coding: Lab: Flow Cytometry
- A57110Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
- A57124Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
How D60.9 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 D60.9.
- Erythroblastopenia
- Anemia›pure red cell
- Aplasia›red cell(with thymoma)
- Anemia›aplastic›red cell(pure)
- Aplasia›red cell›acquired
- Aplasia›red cell›adult
- Aplasia›red cell›due to drugs
- Aplasia›red cell›acquired›due to drugs
- Aplasia›red cell›pure›due to drugs
Related codes at this level
Codes that share D60. If D60.9 is not quite right, the correct code is usually one of these.
Questions about D60.9
- Is D60.9 a billable ICD-10-CM code?
- Yes. D60.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D60.9 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).