D63.1 — Anemia in chronic kidney disease
Is D63.1 billable?
Yes — D63.1 is billable for FY2027. D63.1 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. D63.1 may be submitted for encounters from October 1, 2026 through September 30, 2027.
D63.1 at a glance
| Code | D63.1 |
|---|---|
| Description | Anemia in chronic kidney disease |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to D63.1?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name D63.1 directly.
This code describes a manifestation of an underlying disease. The underlying condition must be sequenced before it, so it can never be the principal or first-listed diagnosis.
Which MS-DRGs does D63.1 group to?
D63.1 sits in MDC 16 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 811Red Blood Cell Disorders with MCCmedical
- 812Red Blood Cell Disorders without MCCmedical
How is D63.1 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to D63.1. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Anemia › erythropoietin-resistant anemia (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound)
- Anemia › due to › chronic kidney disease (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound)
- Anemia › due to › end stage renal disease (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound)
- Anemia › in › chronic kidney disease (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound)
- Anemia › in › end stage renal disease (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound)
- Anemia › in › failure, kidney (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound)
Code first
The underlying condition below must be sequenced before D63.1. D63.1 describes a manifestation and cannot be the principal or first-listed diagnosis.
- underlying chronic kidney disease (CKD) (N18.-)
Inclusion terms
Alternative wording in documentation that is classified to D63.1.
- Erythropoietin resistant anemia (EPO resistant anemia)
Excludes2 — not included here — inherited from Chapter 3
The conditions below are not part of D63.1, but a patient may have both at the same time. When documentation supports it, D63.1 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)
How long has D63.1 existed?
D63.1 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.