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2025 ICD-10-CM code D64.9

A decrease in red blood cell count leading to reduced oxygen supply to body tissues, without specification of the type of anemia.

Use this code only when the type of anemia is unspecified. If the type is known, a more specific code under D50-D64 should be used.

Medical necessity is established by the presence of signs, symptoms, and laboratory findings indicative of anemia. Further investigation may be necessary to determine the underlying cause and guide treatment.

Diagnosis is based on patient history, physical examination, and symptoms such as weakness, pale appearance, shortness of breath, dizziness, rapid heart rate, chest pain, headaches, cold and clammy skin, irregular heartbeat, and fatigue. Laboratory tests include CBC, hemoglobin level, reticulocyte count, and blood iron levels. Treatment depends on the severity and underlying cause, and may include iron and vitamin supplements or blood transfusions.

In simple words: Anemia is a condition where you don't have enough healthy red blood cells to carry adequate oxygen to your body's tissues. This specific code is used when the doctor hasn't identified the exact type of anemia.

Anemia, unspecified. This code is used when the type of anemia is not documented or specified.

Example 1: A patient presents with fatigue, pallor, and shortness of breath. Blood tests reveal a low hemoglobin level, but further investigation is required to determine the cause of the anemia. D64.9 is used until a specific diagnosis is confirmed., A patient is admitted to the hospital for surgery and pre-operative blood work shows mild anemia. The type of anemia is not specified, so D64.9 is applied., A patient experiences dizziness and weakness after significant blood loss following an accident. In the initial assessment, before specific tests are conducted to determine the type of anemia resulting from the blood loss, D64.9 can be used.

Documentation should include signs and symptoms, relevant lab results (CBC, hemoglobin, reticulocyte count, iron levels), and any associated conditions. If the cause is known, it should be documented, even if the specific type of anemia is not yet determined.

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