D60.9
BillableAcquired pure red cell aplasia, unspecified
HCC Category Mapping
V28HCC 109 — Hemolytic and Aplastic Anemias
0.291V24HCC 46 — Severe Hematological Disorders
0.666ESRDHCC 46 — Severe Hematological Disorders
0.000RxHCCHCC 96 — Hemolytic and Aplastic Anemias
0.000What This Code Means
A condition where the bone marrow fails to produce red blood cells, but the specific type or cause is not specified.
Coding Tips
Clinical Significance
Acquired pure red cell aplasia, unspecified is assigned when a patient has documented selective failure of red blood cell production by the bone marrow but the documentation does not specify whether the condition is chronic, transient, or of another defined type. This code represents a documentation gap that should prompt a provider query, as the distinction between chronic and transient forms has significant implications for prognosis, workup (thymoma screening in chronic forms), and treatment approach.
Documentation Requirements
- ✓Document bone marrow findings confirming selective erythroid aplasia.
- ✓Record hemoglobin levels, reticulocyte count, and preserved white blood cell and platelet counts.
- ✓Include what diagnostic workup has been performed to determine the etiology and chronicity.
- ✓Submit a provider query to clarify whether the condition is chronic (D60.0), transient (D60.1), or another specified type (D60.8).
- ✓Document any treatment provided and response.
Commonly Confused Codes
D60.0 (Chronic acquired pure red cell aplasia) should be used when chronicity is established.D60.1 (Transient acquired pure red cell aplasia) applies to self-resolving episodes.D61.9 (Aplastic anemia, unspecified) involves failure of all cell lines, not just erythroid.D64.9 (Anemia, unspecified) does not specify the mechanism and is far less informative.
Code Hierarchy
└D60Acquired pure red cell aplasia [erythroblastopenia]└D60.9Acquired pure red cell aplasia, unspecified
└D60.9Acquired pure red cell aplasia, unspecified