D61.09 — Other constitutional aplastic anemia
Is D61.09 billable?
Yes — D61.09 is billable for FY2027. D61.09 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. D61.09 may be submitted for encounters from October 1, 2026 through September 30, 2027.
D61.09 at a glance
| Code | D61.09 |
|---|---|
| Description | Other constitutional aplastic anemia |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does D61.09 group to?
D61.09 sits in MDC 16 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 808Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with MCCmedical
- 809Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with CCmedical
- 810Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders without CC/MCCmedical
As a secondary diagnosis, D61.09 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is D61.09 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to D61.09. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Erythroblastophthisis
- Erythrogenesis imperfecta
- Panmyelopathy, familial, constitutional
- Anemia › chronica congenita aregenerativa (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound)
- Pancytopenia › congenital (acquired)
- Panhematopenia › congenital
- Panhematopenia › constitutional
- Panhemocytopenia › congenital
- Panhemocytopenia › constitutional
- Panmyelophthisis › congenital
- Aleukia › hemorrhagica › congenital
- Anemia › aplastic › congenital (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound)
Inclusion terms
Alternative wording in documentation that is classified to D61.09.
- Pancytopenia with malformations
Excludes2 — not included here — inherited from Chapter 3
The conditions below are not part of D61.09, but a patient may have both at the same time. When documentation supports it, D61.09 and the excluded code may both be reported.
- autoimmune disease (systemic) NOS (M35.9)
- certain conditions originating in the perinatal period (P00-P96)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- human immunodeficiency virus [HIV] disease (B20)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Excludes2 — not included here — inherited from D61
The conditions below are not part of D61.09, but a patient may have both at the same time. When documentation supports it, D61.09 and the excluded code may both be reported.
- neutropenia (D70.-)
How long has D61.09 existed?
D61.09 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.