D64.4: Congenital dyserythropoietic anemia
D64.4 is a billable, specific ICD-10-CM code for congenital dyserythropoietic anemia. It is valid for submission on a claim.
Check D64.4 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Dyshematopoietic anemia (congenital)
Risk adjustment
D64.4 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
D64.4 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55717Billing and Coding: Lab: Flow Cytometry
- A56464Billing and Coding: Flow Cytometry
- A57110Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
- A57124Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
Alphabetic index entries that lead here
- Anemia›dyserythropoietic(congenital)
- Anemia›dyshematopoietic(congenital)
- Anemia›congenital›dyserythropoietic, dyshematopoietic
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.