D61.09 Other constitutional aplastic anemia

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

Applicable to

• Pancytopenia with malformations

Applies from D61 Other aplastic anemias and other bone marrow failure syndromes

Excludes2 (not included here)

• neutropenia (D70.-)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 109 — Acquired Hemolytic, Aplastic, and Sideroblastic Anemias
• CMS-HCC V22: HCC 46 — Severe Hematological Disorders
• RxHCC V08: HCC 96 — Acquired Hemolytic, Aplastic, and Sideroblastic Anemias
• ESRD V24: HCC 46

MS-DRG index

Defines the logic of DRG(s) 808-810 in MDC 16.

Approximate ICD-9-CM (GEMs)

• 284.09 Other constitutional aplastic anemia

Code annotations containing back-references to D61.09

Back-references to D61.09

• Type 1 Excludes: E79 Disorders of purine and pyrimidine metabolism ("Fanconi's anemia (D61.09)")

Back-references to D61

• 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 D61.09

• Aleukia › hemorrhagica › congenital
• Anemia (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound) › aplastic › congenital
• Anemia (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound) › aregenerative › congenital
• Anemia (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound) › chronica congenita aregenerativa
• Anemia (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound) › congenital › aplastic
• Erythroblastophthisis
• Erythrogenesis imperfecta
• Pancytopenia (acquired) › with › malformations
• Pancytopenia (acquired) › congenital
• Panhematopenia › congenital
• Panhematopenia › constitutional
• Panhemocytopenia › congenital
• Panhemocytopenia › constitutional
• Panmyelopathy, familial, constitutional
• Panmyelophthisis › congenital

Nearby codes

• D61 Other aplastic anemias and other bone marrow failure syndromes
• D61.0 Constitutional aplastic anemia
• D61.01 Constitutional (pure) red blood cell aplasia
• D61.02 Shwachman-Diamond syndrome
• D61.03 Fanconi anemia
• D61.09 Other constitutional aplastic anemia (this code)
• D61.1 Drug-induced aplastic anemia
• D61.2 Aplastic anemia due to other external agents
• D61.3 Idiopathic aplastic anemia
• D61.8 Other specified aplastic anemias and other bone marrow failure syndromes
• D61.81 Pancytopenia