D51.1 Vitamin B12 deficiency anemia due to selective vitamin B12 malabsorption with proteinuria

Billable ICD-10-CM code, FY2026.

Applicable to

• Imerslund (Gräsbeck) syndrome
• Megaloblastic hereditary anemia

Applies from D51 Vitamin B12 deficiency anemia

Excludes1 (never code together)

• vitamin B12 deficiency (E53.8)

MS-DRG index

Defines the logic of DRG(s) 811-812 in MDC 16.

Approximate ICD-9-CM (GEMs)

• 281.1 Other vitamin B12 deficiency anemia (approximate)

Code annotations containing back-references to D51.1

Back-references to D51

• Type 1 Excludes: E53.8 Deficiency of other specified B group vitamins ("vitamin B12 deficiency anemia (D51.-)")
• Code First: M90.5 Osteonecrosis in diseases classified elsewhere ("hemoglobinopathy (D50-D64)")
• Type 1 Excludes: R71 Abnormality of red blood cells ("anemias (D50-D64)")

Diagnosis Index entries for D51.1

• Anemia (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound) › deficiency › vitamin B12 NOS › due to › selective vitamin B12 malabsorption with proteinuria
• Anemia (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound) › due to (in) (with) › selective vitamin B12 malabsorption with proteinuria
• Anemia (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound) › megaloblastic › hereditary
• Imerslund (-Gräsbeck) syndrome

Nearby codes

• D51 Vitamin B12 deficiency anemia
• D51.0 Vitamin B12 deficiency anemia due to intrinsic factor deficiency
• D51.1 Vitamin B12 deficiency anemia due to selective vitamin B12 malabsorption with proteinuria (this code)
• D51.2 Transcobalamin II deficiency
• D51.3 Other dietary vitamin B12 deficiency anemia
• D51.8 Other vitamin B12 deficiency anemias
• D51.9 Vitamin B12 deficiency anemia, unspecified