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

ICD-10 D64.9

Billable / Specific

Anemia, unspecified

D64
Block
0
Synonyms
61
LCDs
16
Payer Policies
7
Linked CPTs

About ICD-10-CM D64.9

ICD-10-CM code D64.9 represents Anemia, unspecified. This is a billable/specific code in the Blood and Blood-forming Organs chapter (block D64). The 2026 edition of ICD-10-CM D64.9 became effective on October 1, 2025.

Medicare LCD Coverage for D64.9

Local Coverage Determinations (LCDs) from CMS MACs that list D64.9 as a covered diagnosis.

61 LCDs

Showing top 10 of 61 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: MolDX: Non-Next Generation Sequencing Targeted Molecular Panel Tests for Predictive Testing in Cancer
Article ID: 60240, Effective: , 680 covered, 0 non-covered
CPT 81479 →
CMS LCD: Billing and Coding: MolDX: Non-Next Generation Sequencing Targeted Molecular Panel Tests for Predictive Testing in Cancer
Article ID: 60309, Effective: , 680 covered, 0 non-covered
CPT 81479 →
CMS LCD: Billing and Coding: Sedimentation Rate, Erythrocyte
Article ID: 57657, Effective: 2024-10-01 00:00:00, 1430 covered, 1 non-covered
CPT 85651 →
CMS LCD: Billing and Coding: Sedimentation Rate, Erythrocyte
Article ID: 57657, Effective: 2024-10-01 00:00:00, 1430 covered, 1 non-covered
CPT 85652 →
CMS LCD: Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
Article ID: 56793, Effective: 2025-08-07 00:00:00, 89 covered, 1 non-covered
CPT 81456 →
CMS LCD: Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
Article ID: 56793, Effective: 2025-08-07 00:00:00, 89 covered, 1 non-covered
CPT 81455 →
CMS LCD: Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
Article ID: 56793, Effective: 2025-08-07 00:00:00, 89 covered, 1 non-covered
CPT 81451 →
CMS LCD: Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
Article ID: 56793, Effective: 2025-08-07 00:00:00, 89 covered, 1 non-covered
CPT 81450 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88189 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86360 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D64.9.

16 policies

1 Cigna

Flow Cytometry - (0538)
Policy ID: MM_0538

5 Medicare

Billing and Coding: Lab: Flow Cytometry
Policy ID: ART-55717
Billing and Coding: Erythropoiesis Stimulating Agents (ESA)
Policy ID: ART-56462
Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
Policy ID: ART-56793
Billing and Coding: Sedimentation Rate, Erythrocyte
Policy ID: ART-57657
Billing and Coding: Lab: Flow Cytometry
Policy ID: ART-57689

1 Aetna

Non-myeloablative Hematopoietic Cell Transplantation (Mini-Allograft / Reduced Intensity Conditioning Transplant)
Policy ID: CPB-0634

CPT Codes Commonly Billed with D64.9

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

7 linkages
  • 99204 New patient office visit — multiple chronic conditions: HTN, T2DM, hyperlipidemia, asthma, anxiety, depression, obesity, IBS, COPD, thyroid, anemia, CAD, sleep apnea, psoriasis, RA Primary Care
  • 99213 Established patient — HTN follow-up, diabetes management, hyperlipidemia, asthma, anxiety, common complaints, back pain, GERD, migraine, acne, joint pain, prediabetes, obesity, anemia, hypothyroid, fatigue Primary Care
  • 99214 Established patient — moderate complexity: uncontrolled HTN, diabetes with complications, multiple chronic conditions, COPD, AFib, CKD, sleep apnea, chronic pain, depression Primary Care
  • 80053 Comprehensive metabolic panel — diabetes, HTN, CKD, hyperlipidemia, electrolyte disorders, anemia, thyroid, prediabetes, abnormal labs, routine exam, screening Laboratory
  • 85025 CBC with differential — anemia, iron deficiency, fatigue, thrombocytopenia, neutropenia, leukemia, lymphoma, abnormal labs, routine exam, screening, fever, elevated WBC Laboratory
  • 85027 CBC automated — anemia, iron deficiency, fatigue, routine exam, abnormal labs, melena, hematemesis Laboratory
  • 0077U CMS LCD: Billing and Coding: Mass Spectrometry (MS) Testing in Monoclonal Gammopathy (MG) CMS LCD

Convert D64.9 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
D64.9 2859 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 D64.9, Billing FAQ

Is ICD-10 code D64.9 billable? +

Yes, D64.9 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with D64.9? +

Procedures frequently paired with D64.9 include: 99204, 99213, 99214, 80053, 85025.

What ICD-9 codes does D64.9 map to? +

Per CMS GEMs, D64.9 maps to ICD-9 codes: 2859. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 2, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Faster Approvals

Ready to Cut Your Enrollment Timeline in Half?

Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
No Long-Term Contracts
HIPAA HIPAA Compliant Platform
Dedicated Specialist Included