D60.8

HCC Category Mapping

What This Code Means

A rare condition where the bone marrow fails to produce red blood cells due to causes other than those specified in other pure red cell aplasia codes.

Coding Tips

• •Use this code when documentation describes a specific etiology that doesn't fit D60.0 or D60.1; document the underlying cause clearly
• •Review the medical record for any identifiable triggers or associated conditions

Clinical Significance

Other acquired pure red cell aplasias captures rare forms of selective erythroid failure not classified as chronic or transient, including pure red cell aplasia associated with specific autoimmune mechanisms (such as anti-erythropoietin antibodies), pregnancy-related pure red cell aplasia, and aplasia secondary to specific medications where the mechanism is distinct from transient suppression. These conditions share the hallmark of isolated erythroid failure with preserved myeloid and megakaryocyte production but have unique etiologies requiring targeted management.

Documentation Requirements

• ✓Document the specific cause or subtype of pure red cell aplasia that distinguishes it from chronic (D60.0) or transient (D60.1) forms.
• ✓Record bone marrow biopsy showing selective erythroid hypoplasia.
• ✓Include hemoglobin, reticulocyte count, and documentation that white blood cell and platelet counts are preserved.
• ✓Note any identified causative factors such as anti-erythropoietin antibodies, specific medications, or pregnancy.
• ✓Document treatment approach and response.

Commonly Confused Codes