ICD Code D63-

ICD code D63- is anemia that occurs as a complication of chronic diseases, such as chronic kidney disease, cancer, or inflammatory disorders.

1. Presence of anemia confirmed by laboratory testing (e.g., low hemoglobin or hematocrit levels)

2. Evidence of a chronic disease or condition, such as chronic kidney disease, chronic inflammatory disorders, malignancy, or other long-standing illnesses

3. Clinical documentation indicating that the anemia is a direct result of the underlying chronic disease, not due to acute blood loss, nutritional deficiency, or hereditary anemia

4. Symptoms consistent with anemia, such as fatigue, pallor, weakness, or shortness of breath, in the context of a chronic disease

5. Exclusion of other primary causes of anemia through appropriate diagnostic workup

Relevant CPT codes that may be used to treat ICD code D63- include:

- 36415 (Collection of venous blood by venipuncture)

- 85025 (Complete blood count, automated, and automated differential WBC count)

- 85027 (Complete blood count, automated, without differential)

- 81000-81003 (Urinalysis)

- 99201-99499 (Evaluation and management services)

- 96372 (Therapeutic, prophylactic, or diagnostic injection)

- 96365 (Intravenous infusion, for therapy, prophylaxis, or diagnosis)

- 36410 (Venipuncture, age 3 years or older, necessitating physician's skill)

- 36416 (Collection of capillary blood specimen)

- 88305 (Pathology examination of tissue)

- 36430 (Transfusion, blood or blood components)

CPT code selection should be based on the specific services rendered and clinical context for ICD code D63-.

See how MD Clarity’s RevFind software can automatically read your contracts and identify underpayments for CPT codes associated with ICD code D63-. Schedule a demo today to ensure you’re capturing the full reimbursement you deserve.