2025 ICD-10-CM code D64
Other anemias. This category encompasses various types of anemia not classified elsewhere.
Medical necessity is established by the documented presence of anemia after appropriate investigations have ruled out other more specific causes.
Diagnosis is based on patient history, physical examination (pallor, fatigue, shortness of breath), and laboratory findings like complete blood count (CBC), peripheral smear, iron studies. Further workup might include bone marrow biopsy and genetic testing. Treatment depends on the underlying cause and could include vitamin supplementation, blood transfusions, or bone marrow transplantation.
- Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)
- Aplastic and other anemias and other bone marrow failure syndromes (D60-D64)
In simple words: This code signifies a type of anemia that doesn't fit into the usual categories. Anemia is a condition where your blood has fewer red blood cells than normal, or the red blood cells aren't functioning correctly. This means your body isn't getting enough oxygen.
This code represents a diagnosis of anemia that is not specifically classified under other ICD-10-CM codes.It includes conditions where there is a decrease in hemoglobin and red blood cells, resulting in reduced oxygen-carrying capacity of the blood, but the cause or specific type does not fit other defined categories.
Example 1: A patient presents with fatigue, pallor, and shortness of breath. Lab results reveal low hemoglobin and red blood cell count, consistent with anemia.Further investigations rule out iron deficiency, vitamin deficiencies, and other common causes.The diagnosis of D64, Other anemias, is assigned., A patient with a chronic inflammatory condition develops anemia. After excluding other causes, the anemia is attributed to the underlying inflammatory process, and D64 is used., A patient undergoing chemotherapy develops anemia as a side effect.Other specific causes are ruled out, and D64 is assigned.
Documentation should include complete blood count (CBC) results, peripheral smear findings, and results of other investigations to rule out other types of anemia.The underlying cause, if known, should be documented.Clinical findings such as fatigue, pallor, and shortness of breath should also be noted.
- Specialties:Hematology, Internal Medicine, Family Medicine, Oncology
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Independent Clinic, Federally Qualified Health Center