MCMedicalCodingSoftware
P61.4

P61.4: Other congenital anemias, not elsewhere classified

Billable / specific codeICD-10-CM

P61.4 is a billable, specific ICD-10-CM code for other congenital anemias, not elsewhere classified. It is valid for submission on a claim.

Check P61.4 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Congenital anemia NOS

Excludes1 inherited from the categories above P61.4

A category’s note binds every code beneath it.

Written on P61: Other perinatal hematological disorders

  • transient hypogammaglobulinemia of infancy (D80.7)

Other codes that can never be billed with P61.4

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • R71Abnormality of red blood cells

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

  • Anemia›congenital
  • Anemia›newborn

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under P61

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.