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

ICD-10 D53

Non-Billable Header

Other nutritional anemias

D53
Block
0
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM D53

ICD-10-CM code D53 represents Other nutritional anemias. This is a non-billable header code in the Blood and Blood-forming Organs chapter (block D53). The 2026 edition of ICD-10-CM D53 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.

Includes

  • megaloblastic anemia unresponsive to vitamin B12 or folate therapy

Medicare LCD Coverage for D53

Local Coverage Determinations (LCDs) from CMS MACs that list D53 as a covered diagnosis.

No Medicare LCDs reference D53 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 D53.

No commercial payer policies reference D53 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but D53 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with D53

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

No procedure linkages on file for D53

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 D53, Billing FAQ

Is ICD-10 code D53 billable? +

No, D53 is a non-billable header code. Use a more specific child code from block D53 when submitting claims.

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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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