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D61.89

Billable

Other specified aplastic anemias and other bone marrow failure syndromes

HCC Category Mapping

V28HCC 109Hemolytic and Aplastic Anemias
0.291
V24HCC 46Severe Hematological Disorders
0.666
ESRDHCC 46Severe Hematological Disorders
0.000
RxHCCHCC 96Hemolytic and Aplastic Anemias
0.000

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.

Commonly Confused Codes

Code Hierarchy

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