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D64 ICD-10-CM Code: Other anemias

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FY 2026 Apr update / Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) / Aplastic and other anemias and other bone marrow failure syndromes (D60-D64)

D64

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

Other anemias

Other anemias

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
D6Aplastic and other anemias and other bone marrow failure syndromes (D60-D64)
D64Other anemias

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for D64 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for D64 in this effective period.

Related Child Codes

Official
D64.0Hereditary sideroblastic anemia
D64.1Secondary sideroblastic anemia due to disease
D64.2Secondary sideroblastic anemia due to drugs and toxins
D64.3Other sideroblastic anemias
D64.4Congenital dyserythropoietic anemia

Includes

Official

ICD-10-CM does not list Includes notes for D64 in this effective period.

Excludes 1

Official
  • refractory anemia (D46.-)
  • refractory anemia with excess blasts in transformation [RAEB T] (C92.0-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for D64 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for D64 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for D64 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.

What This Code Means

D64 is the ICD-10-CM diagnosis code for other anemias. D64 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 aplastic and other anemias and other bone marrow failure syndromes (d60-d64).

Header codes like D64 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 D64'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 D64 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • refractory anemia (D46.-)
  • refractory anemia with excess blasts in transformation [RAEB T] (C92.0-)

Child Codes

Code Hierarchy

D64Other anemias
D64Other anemias

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