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D51 ICD-10-CM Code: Vitamin B12 deficiency anemia

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

FY 2026 Apr update / Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) / Nutritional anemias (D50-D53)

D51

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Vitamin B12 deficiency anemia

Vitamin B12 deficiency anemia

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
D5Nutritional anemias (D50-D53)
D51Vitamin B12 deficiency anemia

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for D51 in this effective period.

Excludes 2

Official
  • deficiency of other B group vitamins (E53-)

Related Child Codes

Official
D51.0Vitamin B12 deficiency anemia due to intrinsic factor deficiency
D51.1Vitamin B12 deficiency anemia due to selective vitamin B12 malabsorption with proteinuria
D51.2Transcobalamin II deficiency
D51.3Other dietary vitamin B12 deficiency anemia
D51.8Other vitamin B12 deficiency anemias

Includes

Official

ICD-10-CM does not list Includes notes for D51 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for D51 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for D51 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for D51 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for D51 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

D51 is the ICD-10-CM diagnosis code for vitamin b12 deficiency anemia. D51 sits in the ICD-10-CM chapter for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (d50-d89), within the section covering nutritional anemias (d50-d53).

Header codes like D51 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at D51's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D51 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2, Not included here, may code separately

  • deficiency of other B group vitamins (E53-)

Child Codes

Code Hierarchy

D51Vitamin B12 deficiency anemia
D51Vitamin B12 deficiency anemia

Work D51 in HCC Buddy

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