Is D61.0 a billable ICD-10-CM code?

No. D61.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does D61.0 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).

D61.0

D61.0 — Constitutional aplastic anemia

Non-billable headerICD-10-CM

D61.0 is a non-billable header ICD-10-CM code for constitutional aplastic anemia. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with D61.0

These codes carry an Excludes1 note pointing at D61.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D61.0 alone.

D64.4Congenital dyserythropoietic anemia
E79Disorders of purine and pyrimidine metabolism
D60Acquired pure red cell aplasia [erythroblastopenia]
D61.81Pancytopenia

Risk adjustment

D61.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead D61.0

4 child codes. Green means billable.

Related codes at this level

Codes that share D61. If D61.0 is not quite right, the correct code is usually one of these.

Questions about D61.0

Is D61.0 a billable ICD-10-CM code?: No. D61.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does D61.0 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).