D61.89
BillableOther specified aplastic anemias and other bone marrow failure syndromes
HCC Category Mapping
What This Code Means
Rare bone marrow failure conditions that don't fit into other specific categories, resulting in the inability to produce adequate blood cells.
Coding Tips
- •Use this code only when a more specific aplastic anemia or bone marrow failure code is not applicable
- •Document the specific condition in the medical record to support code selection
Clinical Significance
Other specified aplastic anemias and other bone marrow failure syndromes encompasses conditions where the bone marrow fails to adequately produce blood cells through mechanisms not captured by more specific aplastic anemia codes. This includes conditions such as bone marrow failure associated with pregnancy, aplastic anemia following viral hepatitis (non-drug related), and other specified acquired aplastic states. The designation 'other specified' indicates the clinician has identified a specific condition even though ICD-10 does not provide a unique code for it.
Documentation Requirements
- ✓Document the specific aplastic anemia or bone marrow failure syndrome by name.
- ✓Record complete blood count values showing cytopenias and bone marrow biopsy findings demonstrating hypocellularity.
- ✓Include the identified etiology or clinical context that distinguishes this condition from other aplastic anemia categories.
- ✓Document treatment approach (immunosuppressive therapy, stem cell transplant, supportive care) and response.
- ✓Note disease severity using standard classification criteria.