ICD Code D63.0

ICD code D63.0 is anemia that occurs as a result of cancer or a malignant disease.

1. Presence of a confirmed neoplastic (malignant) disease diagnosis

2. Laboratory evidence of anemia (e.g., decreased hemoglobin or hematocrit levels)

3. Anemia not attributable to other causes such as blood loss, nutritional deficiencies, or chronic kidney disease

4. Clinical symptoms of anemia, such as fatigue, pallor, or shortness of breath

5. Evidence or clinical suspicion that the anemia is a direct result of the neoplastic disease or its treatment (e.g., bone marrow infiltration, chemotherapy-induced suppression)

Relevant CPT codes that may be used to treat ICD code D63.0 include:

- 96365: Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour

- 96366: Each additional hour (List separately in addition to code for primary procedure)

- 36415: Collection of venous blood by venipuncture

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

- 36430: Transfusion, blood or blood components

- 85025: Complete blood count (CBC) with automated differential WBC count

- 85027: Complete blood count (CBC), automated

- 99211–99215: Office or other outpatient visit codes (for evaluation and management)

- J1439: Injection, ferric carboxymaltose, 1 mg

- J1756: Injection, iron sucrose, 1 mg

- J2916: Injection, sodium ferric gluconate complex in sucrose, 12.5 mg

These CPT codes are commonly associated with the management and treatment of D63.0. Always verify payer-specific requirements and documentation guidelines.

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