D61.89 — Other specified aplastic anemias and other bone marrow failure syndromes
D61.89 is a billable, specific ICD-10-CM code for other specified aplastic anemias and other bone marrow failure syndromes. It is valid for submission on a claim.
Risk adjustment
D61.89 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.
Medicare coverage
D61.89 is named in 35 Medicare coverage policies — 35 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52986Billing and Coding: Biomarkers for Oncology
- A55717Billing and Coding: Lab: Flow Cytometry
- A56199Billing and Coding: Molecular Pathology Procedures
- A56464Billing and Coding: Flow Cytometry
How D61.89 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D61.89.
- Anemia›semiplastic
- Anemia›aplastic›specified type NEC
Related codes at this level
Codes that share D61.8. If D61.89 is not quite right, the correct code is usually one of these.
Questions about D61.89
- Is D61.89 a billable ICD-10-CM code?
- Yes. D61.89 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D61.89 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).