D64.3: Other sideroblastic anemias
D64.3 is a billable, specific ICD-10-CM code for other sideroblastic anemias. It is valid for submission on a claim.
Check D64.3 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Sideroblastic anemia NOS
- Pyridoxine-responsive sideroblastic anemia NEC
Other codes that can never be billed with D64.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
D64.3 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
D64.3 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55717Billing and Coding: Lab: Flow Cytometry
- A56416Billing and Coding: Assays for Vitamins and Metabolic Function
- A56464Billing and Coding: Flow Cytometry
- A57110Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
Alphabetic index entries that lead here
- Anemia›pyridoxine-responsive
- Anemia›sideroblastic
- Anemia›hypochromic›pyridoxine-responsive
- Anemia›sideroblastic›pyridoxine-responsive NEC
- Anemia›sideroblastic›specified type NEC
- Anemia›vitamin›B6-responsive
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.