ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 D46

Non-Billable Header

Myelodysplastic syndromes

D46
Block
0
Synonyms
0
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM D46

ICD-10-CM code D46 represents Myelodysplastic syndromes. This is a non-billable header code in the Neoplasms chapter (block D46). The 2026 edition of ICD-10-CM D46 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Type 2 Excludes

Not included here, the excluded code is not part of D46, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • drug-induced aplastic anemia (D61.1)

Use Additional Code

When coding D46, also report these additional codes when applicable.

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

Medicare LCD Coverage for D46

Local Coverage Determinations (LCDs) from CMS MACs that list D46 as a covered diagnosis.

No Medicare LCDs reference D46 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D46.

1 policies

1 Cigna

Flow Cytometry - (0538)
Policy ID: MM_0538

CPT Codes Commonly Billed with D46

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for D46

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

ICD-10 D46, Billing FAQ

Is ICD-10 code D46 billable? +

No, D46 is a non-billable header code. Use a more specific child code from block D46 when submitting claims.

What codes are Type 2 Excludes for D46? +

Type 2 Excludes (may be coded together when both conditions exist): drug-induced aplastic anemia (D61.1)

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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