ICD-10-CM Billable Code

D61.1

Drug-induced aplastic anemia

Clinical Classification Guidelines

Use Additional Code

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Medical Intelligence & Overview

Drug-induced aplastic anemia is a rare but serious condition where a medication causes the bone marrow to stop producing enough blood cells. This can lead to symptoms like fatigue, increased risk of infections, and easy bruising or bleeding. Recognizing this condition early is crucial for effective management and treatment.

Causes & Symptoms

Clinical Causes: Certain medications such as some antibiotics, antihypertensives, and antiepileptics Chemotherapy drugs used to treat cancer Nonsteroidal anti-inflammatory drugs (NSAIDs)

Key Symptoms: Fatigue and weakness Increased susceptibility to infections Unusual or excessive bleeding or bruising Pale skin Shortness of breath Fever or chills Rapid heart rate

Diagnostic & Treatment

Diagnosis Path: Diagnosing drug-induced aplastic anemia involves a medical evaluation that includes blood tests to check blood cell counts and bone marrow analysis to assess cell production. A detailed medical history focusing on recent medication use helps identify potential causes. Doctors may also perform additional tests to rule out other blood disorders or underlying conditions.

Treatment Protocols: Treatment primarily aims to stop exposure to the offending medication and support blood cell production. Approaches include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is D61.1 a billable ICD-10 code?
Yes, D61.1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report D61.1?
Clinical documentation must specify the nature of Drug-induced aplastic anemia and any associated comorbidities for accurate reporting.

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