D61.0
Non-Billable

Constitutional aplastic anemia

Non-Billable / Non-Specific Code

What is Constitutional aplastic anemia?

ICD-10-CM D61.0 is the diagnosis code for Constitutional aplastic anemia. This code falls under the section "Aplastic and other anemias and other bone marrow failure syndromes" within Chapter 3 — Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for D61.0

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where D61.0 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 4 entries
D61.01Constitutional (pure) red blood cell aplasiaBillableD61.02Shwachman-Diamond syndromeBillableD61.03Fanconi anemiaBillableD61.09Other constitutional aplastic anemiaBillable
Related Codes

Frequently Asked Questions

Is D61.0 a billable ICD-10-CM code?

No, D61.0 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does D61.0 mean?

D61.0 is the ICD-10-CM diagnosis code for "Constitutional aplastic anemia". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of D61.0?

The parent code of D61.0 is D61 ("Other aplastic anemias and other bone marrow failure syndromes"). D61.0 provides a more specific classification within this category.

What section is D61.0 in?

D61.0 is located in Section D60-D64 — "Aplastic and other anemias and other bone marrow failure syndromes" within Chapter 3 of the ICD-10-CM Tabular List.

What are the sub-codes of D61.0?

D61.0 has 4 sub-code(s) that provide more specific detail: D61.01, D61.02, D61.03, D61.09.

When should I use D61.0?

Use D61.0 when the patients documented diagnosis matches "Constitutional aplastic anemia" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Constitutional aplastic anemia?

The ICD-10-CM code for Constitutional aplastic anemia is D61.0.

Can D61.0 be used for primary diagnosis?

No, D61.0 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is D61.0 in?

D61.0 is in Chapter 3 of the ICD-10-CM Tabular List.

Is D61.0 valid for 2026?

Yes, D61.0 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousD61Other aplastic anemias and other bone marrow failure syndromesNext →D61.01Constitutional (pure) red blood cell aplasia
Code Details
D61.0
Constitutional aplastic anemia
Non-Billable / Non-Specific Code
3 — Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)
D60-D64 — Aplastic and other anemias and other bone marrow failure syndromes
2026 ICD-10-CM