D61.818: Other pancytopenia
D61.818 is a billable, specific ICD-10-CM code for other pancytopenia. It is valid for submission on a claim.
Check D61.818 with the rest of the claim: free scrubberExcludes1 inherited from the categories above D61.818
A category’s note binds every code beneath it.
Written on D61.81: Pancytopenia
- pancytopenia (due to) (with) aplastic anemia (D61.9)
- pancytopenia (due to) (with) bone marrow infiltration (D61.82)
- pancytopenia (due to) (with) congenital (pure) red cell aplasia (D61.01)
- pancytopenia (due to) (with) hairy cell leukemia (C91.4-)
- pancytopenia (due to) (with) human immunodeficiency virus disease (B20.-)
- pancytopenia (due to) (with) leukoerythroblastic anemia (D61.82)
- pancytopenia (due to) (with) myeloproliferative disease (D47.1)
Excludes2 inherited from the categories above D61.818
Not part of this code, but both may be coded when both are present.
Risk adjustment
D61.818 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
D61.818 is named in 39 Medicare coverage policies: 39 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55717Billing and Coding: Lab: Flow Cytometry
- A56199Billing and Coding: Molecular Pathology Procedures
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56464Billing and Coding: Flow Cytometry
Alphabetic index entries that lead here
- Pancytopenia(acquired)
- Abnormal, abnormality, abnormalities›chemistry, blood›pancytopenia
- Syndrome›myelodysplastic›with›pancytopenia(acquired)
Code history
Unchanged in every release from FY2024 to FY2027.