D64.9 — Anemia, unspecified
D64.9 is a billable, specific ICD-10-CM code for anemia, unspecified. It is valid for submission on a claim.
Other codes that can never be billed with D64.9
These codes carry an Excludes1 note pointing at D64.9. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D64.9 alone.
- D53.9Nutritional anemia, unspecified
Risk adjustment
D64.9 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
D64.9 is named in 17 Medicare coverage policies — 16 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57497Billing and Coding: Chest X-Ray Policynot covered
- A55717Billing and Coding: Lab: Flow Cytometry
- A56462Billing and Coding: Erythropoiesis Stimulating Agents (ESA)
- A56793Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
How D64.9 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 D64.9.
- Anemia(essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound)
- Oligocythemia
- Anemia›atypical(primary)
- Anemia›idiopathic
- Anemia›normocytic(infectional)
- Anemia›progressive
- Deficiency, deficient›hemoglobin
- Hemoglobin›low NOS
- Low›hematocrit
- Low›hemoglobin
Related codes at this level
Codes that share D64. If D64.9 is not quite right, the correct code is usually one of these.
Questions about D64.9
- Is D64.9 a billable ICD-10-CM code?
- Yes. D64.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D64.9 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).