D61.2

D61.2: Aplastic anemia due to other external agents

Billable / specific codeICD-10-CM

D61.2 is a billable, specific ICD-10-CM code for aplastic anemia due to other external agents. It is valid for submission on a claim.

Check D61.2 with the rest of the claim: free scrubber

Code first

The underlying condition must be sequenced before this code.

, if applicable, toxic effects of substances chiefly nonmedicinal as to source (T51-T65)

Excludes2 inherited from the categories above D61.2

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.-)

Risk adjustment

D61.2 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

D61.2 is named in 22 Medicare coverage policies: 22 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
A56464Billing and Coding: Flow Cytometry

Alphabetic index entries that lead here

Anemia›toxic
Anemia›aplastic›toxic
Anemia›aplastic›due to›external agents NEC
Anemia›aplastic›due to›infection
Anemia›aplastic›due to›radiation

Code history

Unchanged in every release from FY2024 to FY2027.