D63.1 is a billable ICD-10 code used to specify a medical diagnosis of anemia in chronic kidney disease. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions.
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Anemia due to chronic kidney disease stage 1
- Anemia in chronic kidney disease
- Anemia in chronic kidney disease stage 4
- Anemia in chronic kidney disease stage 5
- Anemia in end stage renal disease
- Anemia of chronic renal failure
- Anemia of renal disease
- Anemia secondary to renal failure
- Anemia, pre-end stage renal disease on erythropoietin protocol
- Drug resistance
- Erythropoietin resistance in anemia of chronic kidney disease
- Drug Resistance-. diminished or failed response of an organism, disease or tissue to the intended effectiveness of a chemical or drug. it should be differentiated from drug tolerance which is the progressive diminution of the susceptibility of a human or animal to the effects of a drug, as a result of continued administration.
- Drug Resistance, Bacterial-. the ability of bacteria to resist or to become tolerant to chemotherapeutic agents, antimicrobial agents, or antibiotics. this resistance may be acquired through gene mutation or foreign dna in transmissible plasmids (r factors).
- Drug Resistance, Fungal-. the ability of fungi to resist or to become tolerant to chemotherapeutic agents, antifungal agents, or antibiotics. this resistance may be acquired through gene mutation.
- Drug Resistance, Microbial-. the ability of microorganisms, especially bacteria, to resist or to become tolerant to chemotherapeutic agents, antimicrobial agents, or antibiotics. this resistance may be acquired through gene mutation or foreign dna in transmissible plasmids (r factors).
- Drug Resistance, Multiple-. simultaneous resistance to several structurally and functionally distinct drugs.
- Drug Resistance, Multiple, Bacterial-. the ability of bacteria to resist or to become tolerant to several structurally and functionally distinct drugs simultaneously. this resistance may be acquired through gene mutation or foreign dna in transmissible plasmids (r factors).
- Drug Resistance, Multiple, Fungal-. the ability of fungi to resist or to become tolerant to several structurally and functionally distinct drugs simultaneously. this resistance phenotype may be attributed to multiple gene mutations.
- Drug Resistance, Multiple, Viral-. the ability of viruses to resist or to become tolerant to several structurally and functionally distinct drugs simultaneously. this resistance phenotype may be attributed to multiple gene mutation.
- Drug Resistance, Neoplasm-. resistance or diminished response of a neoplasm to an antineoplastic agent in humans, animals, or cell or tissue cultures.
- Drug Resistance, Viral-. the ability of viruses to resist or to become tolerant to chemotherapeutic agents or antiviral agents. this resistance is acquired through gene mutation.
- Drug Tolerance-. progressive diminution of the susceptibility of a human or animal to the effects of a drug, resulting from its continued administration. it should be differentiated from drug resistance wherein an organism, disease, or tissue fails to respond to the intended effectiveness of a chemical or drug. it should also be differentiated from maximum tolerated dose and no-observed-adverse-effect level.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Erythropoietin resistant anemia (EPO resistant anemia)
Code FirstCode First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
- underlying chronic kidney disease CKD N18
Index to Diseases and Injuries References
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for this diagnosis code are found in the injuries and diseases index:
- - Anemia (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound) - D64.9
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
Convert to ICD-9 Code
|Source ICD-10 Code||Target ICD-9 Code|
|D63.1||285.21 - Anemia in chr kidney dis|
|Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.|
If you have anemia, your blood does not carry enough oxygen to the rest of your body. The most common cause of anemia is not having enough iron. Your body needs iron to make hemoglobin. Hemoglobin is an iron-rich protein that gives the red color to blood. It carries oxygen from the lungs to the rest of the body.
Anemia has three main causes: blood loss, lack of red blood cell production, and high rates of red blood cell destruction.
Conditions that may lead to anemia include:
- Heavy periods
- Colon polyps or colon cancer
- Inherited disorders
- A diet that does not have enough iron, folic acid or vitamin B12
- Blood disorders such as sickle cell anemia and thalassemia, or cancer
- Aplastic anemia, a condition that can be inherited or acquired
- G6PD deficiency, a metabolic disorder
Anemia can make you feel tired, cold, dizzy, and irritable. You may be short of breath or have a headache.
Your doctor will diagnose anemia with a physical exam and blood tests. Treatment depends on the kind of anemia you have.
NIH: National Heart, Lung, and Blood Institute
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Chronic Kidney Disease
You have two kidneys, each about the size of your fist. Their main job is to filter your blood. They remove wastes and extra water, which become urine. They also keep the body's chemicals balanced, help control blood pressure, and make hormones.
Chronic kidney disease (CKD) means that your kidneys are damaged and can't filter blood as they should. This damage can cause wastes to build up in your body. It can also cause other problems that can harm your health. Diabetes and high blood pressure are the most common causes of CKD.
The kidney damage occurs slowly over many years. Many people don't have any symptoms until their kidney disease is very advanced. Blood and urine tests are the only way to know if you have kidney disease.
Treatments cannot cure kidney disease, but they may slow kidney disease. They include medicines to lower blood pressure, control blood sugar, and lower cholesterol. CKD may still get worse over time. Sometimes it can lead to kidney failure. If your kidneys fail, you will need dialysis or a kidney transplantation.
You can take steps to keep your kidneys healthier longer:
- Choose foods with less salt (sodium)
- Control your blood pressure; your health care provider can tell you what your blood pressure should be
- Keep your blood sugar in the target range, if you have diabetes
- Limit the amount of alcohol you drink
- Choose foods that are healthy for your heart: fruits, vegetables, whole grains, and low-fat dairy foods
- Lose weight if you are overweight
- Be physically active
- Don't smoke
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
[Learn More in MedlinePlus]
Anemia in Chronic Kidney DiseaseOverview of anemia in people with chronic kidney disease, a common complication in people with advanced kidney disease.
[Learn More in MedlinePlus]
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)