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D64.9

Billable

Anemia, unspecified

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

This code describes a condition where a patient has abnormally low red blood cells or hemoglobin levels, but the specific type or cause of the anemia has not been determined or documented. It is used when the medical record does not provide enough information to assign a more specific anemia diagnosis.

Coding Tips

  • Use this code only when the type of anemia cannot be determined from the medical record; always attempt to obtain more specific documentation from the provider about the anemia's cause (iron deficiency, vitamin B12 deficiency, hemolytic, etc.)
  • Review lab results and clinical notes carefully, as the specific type of anemia is often identifiable through hemoglobin levels, MCV values, or other diagnostic findings that would support a more specific code

Code Hierarchy

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