ICD-10 R71
Non-Billable HeaderAbnormality of red blood cells
About ICD-10-CM R71
ICD-10-CM code R71 represents Abnormality of red blood cells. This is a non-billable header code in the Symptoms, Signs, and Abnormal Findings chapter (block R71). The 2026 edition of ICD-10-CM R71 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 1 Excludes
Pure excludes, these codes can never be coded together with R71. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- anemias (D50-D64)
- anemia of premature infant (P61.2)
- benign (familial) polycythemia (D75.0)
- congenital anemias (P61.2-P61.4)
- newborn anemia due to isoimmunization (P55.-)
- polycythemia neonatorum (P61.1)
- polycythemia NOS (D75.1)
- polycythemia vera (D45)
- secondary polycythemia (D75.1)
Medicare LCD Coverage for R71
Local Coverage Determinations (LCDs) from CMS MACs that list R71 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 R71.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but R71 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with R71
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 R71
Other codes in section R70-R79 (Abnormal findings on examination of blood, without diagnosis).
ICD-10 R71, Billing FAQ
Is ICD-10 code R71 billable? +
No, R71 is a non-billable header code. Use a more specific child code from block R71 when submitting claims.
What codes are Type 1 Excludes for R71? +
Type 1 Excludes (never code together with R71): anemias (D50-D64); anemia of premature infant (P61.2); benign (familial) polycythemia (D75.0)
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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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