ICD-10 Coding for Normocytic Anemia(D63.1, D63.8, D64.9)
Complete ICD-10-CM coding and documentation guide for Normocytic Anemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Normocytic Anemia
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D63.1 | Anemia in chronic kidney disease | Use when normocytic anemia is directly linked to chronic kidney disease. |
|
| D63.8 | Anemia in other chronic diseases | Use when normocytic anemia is linked to chronic diseases other than CKD. |
|
| D64.9 | Anemia, unspecified | Use only when specific anemia type cannot be determined. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for normocytic anemia
Essential facts and insights about Normocytic Anemia
Primary ICD-10-CM Codes for normocytic anemia
Decision Criteria
clinical Criteria
- Presence of CKD with normocytic anemia
Applicable To
- Anemia due to CKD
Excludes
- Anemia due to other chronic diseases (D63.8)
Clinical Validation Requirements
- eGFR <60
- Elevated creatinine
- Proteinuria
Code-Specific Risks
- Incorrect use without CKD documentation
Coding Notes
- Ensure CKD is documented as the underlying cause.
D63.8 - Anemia in other chronic diseases
Use when normocytic anemia is linked to chronic diseases other than CKD.
Applicable To
- Anemia due to rheumatoid arthritis
- Anemia due to malignancy
Excludes
- Anemia in CKD (D63.1)
Clinical Validation Requirements
- CRP >10 mg/L
- ESR >40 mm/hr
- Active autoimmune disease
Coding Notes
Ensure documentation specifies the chronic disease causing anemia.
D64.9 - Anemia, unspecified
Use only when specific anemia type cannot be determined.
Applicable To
- Unspecified anemia
Excludes
- Specific types of anemia
Clinical Validation Requirements
- Lack of specific anemia type documentation
Coding Notes
Avoid using if specific anemia type is known.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Rheumatoid arthritis
M05.00-M06.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Normocytic Anemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D63.1.
Impact
Clinical: May lead to inappropriate treatment, Regulatory: Increases risk of audit, Financial: Potential for reduced reimbursement
Mitigation Strategy
Use specific lab results to determine anemia type, Document the underlying cause of anemia
Impact
Reimbursement: May lead to reduced reimbursement, Compliance: Increases risk of audit, Data Quality: Decreases specificity of clinical data
Mitigation Strategy
Ensure specific type of anemia is documented and coded.
Impact
High risk of audit when using D64.9 without specific documentation.
Mitigation Strategy
Ensure detailed documentation of anemia type and underlying conditions.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Normocytic Anemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Normocytic Anemia
Use these documentation templates to ensure complete and accurate documentation for Normocytic Anemia. These templates include all required elements for proper coding and billing.
Normocytic anemia in a patient with CKD
Specialty: NephrologyRequired Elements
- Patient history
- Lab results
- CKD stage
- Anemia type
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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