ICD-10 D61
Non-Billable HeaderOther aplastic anemias and other bone marrow failure syndromes
About ICD-10-CM D61
ICD-10-CM code D61 represents Other aplastic anemias and other bone marrow failure syndromes. This is a non-billable header code in the Blood and Blood-forming Organs chapter (block D61). The 2026 edition of ICD-10-CM D61 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 D61, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- neutropenia (D70.-)
Medicare LCD Coverage for D61
Local Coverage Determinations (LCDs) from CMS MACs that list D61 as a covered diagnosis.
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 D61.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but D61 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with D61
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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.
Codes Adjacent To D61
Other codes in section D60-D64 (Aplastic and other anemias and other bone marrow failure syndromes).
ICD-10 D61, Billing FAQ
Is ICD-10 code D61 billable? +
No, D61 is a non-billable header code. Use a more specific child code from block D61 when submitting claims.
What codes are Type 2 Excludes for D61? +
Type 2 Excludes (may be coded together when both conditions exist): neutropenia (D70.-)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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