ICD-10 D64.4
Billable / SpecificCongenital dyserythropoietic anemia
About ICD-10-CM D64.4
ICD-10-CM code D64.4 represents Congenital dyserythropoietic anemia. This is a billable/specific code in the Blood and Blood-forming Organs chapter (block D64). The 2026 edition of ICD-10-CM D64.4 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under D64.4. Per CMS ICD-10-CM Tabular 2026.
- Dyshematopoietic anemia (congenital)
Type 1 Excludes
Pure excludes, these codes can never be coded together with D64.4. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- Blackfan-Diamond syndrome (D61.01)
- Di Guglielmo's disease (C94.0)
Medicare LCD Coverage for D64.4
Local Coverage Determinations (LCDs) from CMS MACs that list D64.4 as a covered diagnosis.
Showing top 10 of 181 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing D64.4.
5 Medicare
1 Aetna
CPT Codes Commonly Billed with D64.4
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.
Convert D64.4 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| D64.4 | 2858 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To D64.4
Other codes in section D60-D64 (Aplastic and other anemias and other bone marrow failure syndromes).
ICD-10 D64.4, Billing FAQ
Is ICD-10 code D64.4 billable? +
Yes, D64.4 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to D64.4? +
ICD-10 D64.4 includes: Dyshematopoietic anemia (congenital).
What codes are Type 1 Excludes for D64.4? +
Type 1 Excludes (never code together with D64.4): Blackfan-Diamond syndrome (D61.01); Di Guglielmo's disease (C94.0)
What ICD-9 codes does D64.4 map to? +
Per CMS GEMs, D64.4 maps to ICD-9 codes: 2858. Useful for legacy data review and historical claim analysis.
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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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