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

ICD-10 R71.0

Billable / Specific CC

Precipitous drop in hematocrit

R71
Block
2
Synonyms
41
LCDs
2
Payer Policies
0
Linked CPTs

About ICD-10-CM R71.0

ICD-10-CM code R71.0 represents Precipitous drop in hematocrit. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R71). The 2026 edition of ICD-10-CM R71.0 became effective on October 1, 2025.

Coding Tips for R71.0

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

R71.0 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R71.0. Per CMS ICD-10-CM Tabular 2026.

  • Drop (precipitous) in hemoglobin
  • Drop in hematocrit

Inpatient DRG Impact, CC

codes Precipitous drop in hematocrit. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for R71.0

Local Coverage Determinations (LCDs) from CMS MACs that list R71.0 as a covered diagnosis.

41 LCDs

Showing top 10 of 41 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Heavy Metal Testing
Article ID: 56767, Effective: 2026-01-01 00:00:00, 294 covered, 1 non-covered
CPT 82175 →
CMS LCD: Billing and Coding: Heavy Metal Testing
Article ID: 56767, Effective: 2026-01-01 00:00:00, 294 covered, 1 non-covered
CPT 84630 →
CMS LCD: Billing and Coding: Heavy Metal Testing
Article ID: 56767, Effective: 2026-01-01 00:00:00, 294 covered, 1 non-covered
CPT 82495 →
CMS LCD: Billing and Coding: Heavy Metal Testing
Article ID: 56767, Effective: 2026-01-01 00:00:00, 294 covered, 1 non-covered
CPT 84285 →
CMS LCD: Billing and Coding: Heavy Metal Testing
Article ID: 56767, Effective: 2026-01-01 00:00:00, 294 covered, 1 non-covered
CPT 83825 →
CMS LCD: Billing and Coding: Heavy Metal Testing
Article ID: 56767, Effective: 2026-01-01 00:00:00, 294 covered, 1 non-covered
CPT 82108 →
CMS LCD: Billing and Coding: Heavy Metal Testing
Article ID: 56767, Effective: 2026-01-01 00:00:00, 294 covered, 1 non-covered
CPT 82525 →
CMS LCD: Billing and Coding: Heavy Metal Testing
Article ID: 56767, Effective: 2026-01-01 00:00:00, 294 covered, 1 non-covered
CPT 83885 →
CMS LCD: Billing and Coding: Heavy Metal Testing
Article ID: 56767, Effective: 2026-01-01 00:00:00, 294 covered, 1 non-covered
CPT 83015 →
CMS LCD: Billing and Coding: Heavy Metal Testing
Article ID: 56767, Effective: 2026-01-01 00:00:00, 294 covered, 1 non-covered
CPT 83655 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R71.0.

2 policies

2 Medicare

Billing and Coding: Heavy Metal Testing
Policy ID: ART-56767
Billing and Coding: Diagnostic and Therapeutic Colonoscopy
Policy ID: ART-57342

CPT Codes Commonly Billed with R71.0

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

No procedure linkages on file for R71.0

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 R71.0 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
R71.0 79001 00000

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

ICD-10 R71.0, Billing FAQ

Is ICD-10 code R71.0 billable? +

Yes, R71.0 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 R71.0? +

ICD-10 R71.0 includes: Drop (precipitous) in hemoglobin; Drop in hematocrit.

Is R71.0 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What ICD-9 codes does R71.0 map to? +

Per CMS GEMs, R71.0 maps to ICD-9 codes: 79001. 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 June 1, 2026.

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