D47.1 Chronic myeloproliferative disease

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applicable to

• Chronic neutrophilic leukemia
• Myeloproliferative disease, unspecified

Excludes1 (never code together)

• atypical chronic myeloid leukemia BCR/ABL-negative (C92.2-)
• chronic myeloid leukemia BCR/ABL-positive (C92.1-)
• myelofibrosis NOS (D75.81)
• myelophthisic anemia (D61.82)
• myelophthisis (D61.82)
• secondary myelofibrosis NOS (D75.81)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 21 — Lymphoma and Other Cancers
• CMS-HCC V22: HCC 48 — Coagulation Defects and Other Specified Hematological Disorders
• RxHCC V08: HCC 21 — Lymphomas and Other Hematologic Cancers
• ESRD V24: HCC 48

MS-DRG index

Defines the logic of DRG(s) 820-822 in MDC 17.

Approximate ICD-9-CM (GEMs)

• 238.76 Myelofibrosis with myeloid metaplasia (approximate)
• 238.79 Other lymphatic and hematopoietic tissues (approximate)

Code annotations containing back-references to D47.1

Back-references to D47.1

• Type 1 Excludes: C92.1 Chronic myeloid leukemia, BCR/ABL-positive ("chronic myeloproliferative disease (D47.1)")
• Code Also: D47.02 Systemic mastocytosis ("myeloproliferative syndrome (D47.1)")
• Type 1 Excludes: D61.81 Pancytopenia ("pancytopenia (due to) (with) myeloproliferative disease (D47.1)")
• Type 1 Excludes: D61.82 Myelophthisis ("idiopathic myelofibrosis (D47.1)")
• Type 1 Excludes: D61.82 Myelophthisis ("primary myelofibrosis (D47.1)")
• Type 1 Excludes: D75.81 Myelofibrosis ("idiopathic myelofibrosis (D47.1)")
• Type 1 Excludes: D75.81 Myelofibrosis ("primary myelofibrosis (D47.1)")

Diagnosis Index entries for D47.1

• Disease, diseased › myeloproliferative
• Disease, diseased › myeloproliferative › chronic
• Leukemia, leukemic › chronic neutrophilic
• Myelofibrosis › primary
• Myelosis › chronic
• Syndrome › myeloproliferative (chronic)

Nearby codes

• D47 Other neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue
• D47.0 Mast cell neoplasms of uncertain behavior
• D47.01 Cutaneous mastocytosis
• D47.02 Systemic mastocytosis
• D47.09 Other mast cell neoplasms of uncertain behavior
• D47.1 Chronic myeloproliferative disease (this code)
• D47.2 Monoclonal gammopathy
• D47.3 Essential (hemorrhagic) thrombocythemia
• D47.4 Osteomyelofibrosis
• D47.Z Other specified neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue
• D47.Z1 Post-transplant lymphoproliferative disorder (PTLD)