D60.9
D60.9: Acquired pure red cell aplasia, unspecified
Billable / specific codeICD-10-CM
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.
Check D60.9 with the rest of the claim: free scrubberOther codes that can never be billed with D60.9
Their own Excludes1 notes name this code, so the conflict is not listed above.
- 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
D60.9 is named in 9 Medicare coverage policies: 9 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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
Alphabetic index entries that lead here
- 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
Code history
Unchanged in every release from FY2024 to FY2027.