Refractory anemia without ring sideroblasts, so stated

ValidICD-10-CM diagnosis code.

Valid for claims with a date of service in the current code year.

Valid FY2016 onwards.

What has happened to this code

Every change the publisher made, from 2007 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2007 Added to the draft code set draft Refractory anemia without sideroblasts, so stated
FY2010 Draft description revised draft ~~Refractory anemia without sideroblasts, so stated~~ Refractory anemia without ring sideroblasts, so stated

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from D46 Myelodysplastic syndromes

Excludes2 - not included here

drug-induced aplastic anemia (D61.1)

Use additional code

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

Inherited from the D37-D48 section Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48)

Excludes1 - never coded here

neoplasms of unspecified behavior (D49.-)

Note

Categories D37-D44, and D48 classify by site neoplasms of uncertain behavior, i.e., histologic confirmation whether the neoplasm is malignant or benign cannot be made.

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Deficit
Avitaminosis
Hypovitaminosis
Vitamin deficiency
Deprivation > vitamins
Deficiency, deficient > factor
Deficiency, deficient > clotting
Disturbance > absorption > vitamin
Encephalopathy > in > lack of vitamin
Anemia > refractory > without ring sideroblasts, so stated
Anemia > refractory > without sideroblasts without excess of blasts

Codes in the same group

Code	Description	Status
D46.1	Refractory anemia with ring sideroblasts	Valid
D46.2	Refractory anemia with excess of blasts [RAEB]	Not billable
D46.4	Refractory anemia, unspecified	Valid
D46.9	Myelodysplastic syndrome, unspecified	Valid
D46.A	Refractory cytopenia with multilineage dysplasia	Valid
D46.B	Refractory cytopenia with multilineage dysplasia and ring sideroblasts	Valid
D46.C	Myelodysplastic syndrome with isolated del(5q) chromosomal abnormality	Valid
D46.Z	Other myelodysplastic syndromes	Valid