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Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)

Excludes 2:: 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)

Aplastic and other anemias and other bone marrow failure syndromes (D60-D64)

D60

Acquired pure red cell aplasia [erythroblastopenia] [+]

Includes:	red cell aplasia (acquired) (adult) (with thymoma)
Excludes 1:	congenital red cell aplasia (D61.01)

D61

Other aplastic anemias and other bone marrow failure syndromes [+]

Excludes 2:

neutropenia (D70.-)

D61.0

Constitutional aplastic anemia [+]

D61.1

Drug-induced aplastic anemia

Use additional

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

D61.2

Aplastic anemia due to other external agents

Code first

, if applicable, toxic effects of substances chiefly nonmedicinal as to source (T51-T65)

D61.3

Idiopathic aplastic anemia

D61.8

Other specified aplastic anemias and other bone marrow failure syndromes [+]

D61.81

Pancytopenia [+]

Excludes 1:

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)

Excludes 2:

pancytopenia (due to) (with) myelodysplastic syndromes (D46.-)

D61.82

Myelophthisis
Leukoerythroblastic anemia
Myelophthisic anemia
Panmyelophthisis

Code also	the underlying disorder, such as: malignant neoplasm of breast (C50.-) tuberculosis (A15.-)
Excludes 1:	idiopathic myelofibrosis (D47.1) myelofibrosis NOS (D75.81) myelofibrosis with myeloid metaplasia (D47.4) primary myelofibrosis (D47.1) secondary myelofibrosis (D75.81)

D61.89

Other specified aplastic anemias and other bone marrow failure syndromes

D61.9

Aplastic anemia, unspecified
Hypoplastic anemia NOS
Medullary hypoplasia

D62

Acute posthemorrhagic anemia

Excludes 1:

anemia due to chronic blood loss (D50.0)
blood loss anemia NOS (D50.0)
congenital anemia from fetal blood loss (P61.3)

D63

Anemia in chronic diseases classified elsewhere [+]

D64

Other anemias [+]

Excludes 1:

refractory anemia (D46.-)
refractory anemia with excess blasts in transformation [RAEB T] (C92.0-)

D64.0

Hereditary sideroblastic anemia
Sex-linked hypochromic sideroblastic anemia

D64.1

Secondary sideroblastic anemia due to disease

Code first

underlying disease

D64.2

Secondary sideroblastic anemia due to drugs and toxins

Code first	poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
Use additional	code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

D64.3

Other sideroblastic anemias
Sideroblastic anemia NOS
Pyridoxine-responsive sideroblastic anemia NEC

D64.4

Congenital dyserythropoietic anemia
Dyshematopoietic anemia (congenital)

Excludes 1:

Blackfan-Diamond syndrome (D61.01)
Di Guglielmo's disease (C94.0)

D64.8

Other specified anemias [+]

D64.9

Anemia, unspecified