D61.81 — Pancytopenia
Is D61.81 billable?
No — D61.81 is a non-billable header code. D61.81 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 3 billable codes beneath D61.81.
Billable codes under this header
D61.81 at a glance
| Code | D61.81 |
|---|---|
| Description | Pancytopenia |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with D61.81 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- pancytopenia (due to) (with) aplastic anemia (D61.9)
- pancytopenia (due to) (with) bone marrow infiltration (D61.82)
- pancytopenia (due to) (with) congenital (pure) red cell aplasia (D61.01)
- pancytopenia (due to) (with) hairy cell leukemia (C91.4-)
- pancytopenia (due to) (with) human immunodeficiency virus disease (B20.-)
- pancytopenia (due to) (with) leukoerythroblastic anemia (D61.82)
- pancytopenia (due to) (with) myeloproliferative disease (D47.1)
Excludes2 — not included here
The conditions below are not part of D61.81, but a patient may have both at the same time. When documentation supports it, D61.81 and the excluded code may both be reported.
- pancytopenia (due to) (with) myelodysplastic syndromes (D46.-)
Excludes2 — not included here — inherited from Chapter 3
The conditions below are not part of D61.81, but a patient may have both at the same time. When documentation supports it, D61.81 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 D61.81, but a patient may have both at the same time. When documentation supports it, D61.81 and the excluded code may both be reported.
- neutropenia (D70.-)
What codes fall under D61.81? (3)
How long has D61.81 existed?
D61.81 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.