D61.1

D61.1: Drug-induced aplastic anemia

Billable / specific codeICD-10-CM

D61.1 is a billable, specific ICD-10-CM code for drug-induced aplastic anemia. It is valid for submission on a claim.

Check D61.1 with the rest of the claim: free scrubber

Use additional code

Add a secondary code to capture the detail described below.

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Excludes2 inherited from the categories above D61.1

Not part of this code, but both may be coded when both are present.

Written on D61: Other aplastic anemias and other bone marrow failure syndromes

neutropenia (D70.-)

Other codes that can never be billed with D61.1

Their own Excludes1 notes name this code, so the conflict is not listed above.

D63.0Anemia in neoplastic disease

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

D61.1 is named in 27 Medicare coverage policies: 27 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
A56199Billing and Coding: Molecular Pathology Procedures
A56462Billing and Coding: Erythropoiesis Stimulating Agents (ESA)

Alphabetic index entries that lead here

Anemia›aplastic›drug-induced
Anemia›aplastic›due to›drugs

Code history

Unchanged in every release from FY2024 to FY2027.