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ICD-10 Coding for Chronic Normocytic Anemia(D50.0, D63.1, D63.0)

Complete ICD-10-CM coding and documentation guide for Chronic Normocytic Anemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Anemia of Chronic DiseaseNormocytic Anemia

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Related ICD-10 Code Ranges

Complete code families applicable to Chronic Normocytic Anemia

D50-D64Primary Range

Nutritional anemias and other anemias

This range includes codes for various types of anemia, including normocytic anemia, which is characterized by normal-sized red blood cells but a reduced number of them.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
D50.0Iron deficiency anemia secondary to blood loss (chronic)Use when anemia is due to chronic blood loss, such as from a gastrointestinal bleed or heavy menstrual bleeding.
  • Ferritin <100 ng/mL
  • Transferrin saturation <20%
D63.1Anemia in chronic kidney diseaseUse when anemia is associated with chronic kidney disease.
  • eGFR <60 mL/min/1.73m² for ≥3 months
  • Ferritin >100 ng/mL
D63.0Anemia in neoplastic diseaseUse when anemia is directly related to a neoplastic disease.
  • Active cancer treatment
  • Tumor markers or imaging

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 chronic normocytic anemia

Essential facts and insights about Chronic Normocytic Anemia

The ICD-10 code for chronic normocytic anemia depends on the cause, such as D50.0 for chronic blood loss or D63.1 for CKD-related anemia.

Primary ICD-10-CM Codes for chronic normocytic anemia

D50.0
Iron deficiency anemia secondary to blood loss (chronic)
Billable Code

Decision Criteria

clinical Criteria

  • Presence of chronic blood loss with low ferritin levels.

Applicable To

  • Chronic blood loss anemia

Excludes

  • Acute blood loss anemia

Clinical Validation Requirements

  • Ferritin <100 ng/mL
  • Transferrin saturation <20%

Code-Specific Risks

  • Misclassification if acute blood loss is not ruled out.

Coding Notes

  • Ensure chronicity is documented and acute causes are excluded.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Other specified anemias

D64.89
Use for specific types of anemia not classified elsewhere.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Anemia, unspecified

D64.9
Use D64.9 when the specific cause of anemia is not determined after thorough investigation.

Anemia in neoplastic disease

D63.0
Use D63.0 when anemia is due to active cancer treatment.

Anemia due to antineoplastic chemotherapy

D64.81
Use D64.81 when anemia is due to chemotherapy, not the cancer itself.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Chronic Normocytic Anemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D50.0.

Impact

Clinical: Misleading clinical picture, Regulatory: Non-compliance with coding standards, Financial: Potential reimbursement issues

Mitigation Strategy

Always document duration and chronic nature, Include supporting lab results

Impact

Reimbursement: Incorrect sequencing can affect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Ensure the malignancy code is sequenced before D63.0.

Impact

Risk of audits due to insufficient documentation of chronicity and underlying conditions.

Mitigation Strategy

Ensure thorough documentation of chronic conditions and relevant lab results.

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 Chronic Normocytic Anemia, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Chronic Normocytic Anemia

Use these documentation templates to ensure complete and accurate documentation for Chronic Normocytic Anemia. These templates include all required elements for proper coding and billing.

Chronic normocytic anemia in rheumatoid arthritis

Specialty: Rheumatology

Required Elements

  • Hemoglobin levels
  • MCV
  • Ferritin
  • CRP
  • Underlying condition

Example Documentation

68F with RA on DMARDs presents with fatigue ×6mo. Labs: Hb 9.8 g/dL, MCV 89 fL, ferritin 210 ng/mL, transferrin 2.8 g/L, ESR 45 mm/hr. Impression: Anemia of chronic disease secondary to active rheumatoid arthritis.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Anemia present
Good Documentation Example
Chronic normocytic anemia secondary to rheumatoid arthritis flare: ferritin 220 ng/mL, CRP 25 mg/L
Explanation
The good example specifies the type of anemia, underlying condition, and relevant lab results.

Need help with ICD-10 coding for Chronic Normocytic Anemia? Ask your questions below.

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