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2025 ICD-10-CM code D61.9

Aplastic anemia, unspecified. This is a condition where the bone marrow fails to produce sufficient blood cells.

Use this code when a more specific type of aplastic anemia is not documented or unknown. If a specific cause or type of aplastic anemia is identified, use the appropriate more specific code.

The medical necessity for treatment of aplastic anemia is based on the severity of the condition. Supportive care and transfusions may be necessary to manage symptoms and prevent complications. Immunosuppressive therapy or bone marrow transplantation might be medically necessary in more severe cases.

Diagnosis of aplastic anemia involves a combination of patient history, physical examination, and laboratory testing such as complete blood count (CBC), peripheral blood smear, hemoglobin electrophoresis, kidney and liver function tests, and bone marrow biopsy. Treatment varies depending on severity and may include supportive care, immunosuppression therapy, or hematopoietic cell transplantation.

In simple words: Aplastic anemia is a rare blood condition where your bone marrow can't make enough new blood cells. This can cause tiredness, weakness, and shortness of breath, among other symptoms.The reasons for this can vary, from infections to certain medicines, or sometimes the cause is unknown.

Aplastic anemia is a rare blood disorder characterized by the inability of the bone marrow to produce enough blood cells, leading to a decrease in the peripheral blood cell count. The cause may be unknown or include use of certain drugs, viral infections, autoimmune disorders, radiation therapy, and toxic substances. This code specifies aplastic anemia where a more specific type is not documented.

Example 1: A 25-year-old patient presents with persistent fatigue, frequent infections, and unexplained bruising. After undergoing blood tests and a bone marrow biopsy, they are diagnosed with aplastic anemia with no identifiable cause., A 60-year-old patient undergoing chemotherapy for cancer develops pancytopenia, a deficiency of all blood cell types, which is determined to be a drug-induced aplastic anemia., A child presents with symptoms of anemia, including pallor and shortness of breath. Following investigations, they are diagnosed with a constitutional aplastic anemia, a form present from birth.

Documentation should include details of the patient's symptoms, relevant medical history (including exposure to potential causative agents like medications, toxins, or radiation), results of blood tests (CBC, peripheral blood smear, bone marrow biopsy), and other relevant investigations. Any underlying or associated conditions should also be documented.

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