2024 ICD-10-CM Diagnosis Code D63.1

Anemia in chronic kidney disease

ICD-10-CM Code:
D63.1
ICD-10 Code for:
Anemia in chronic kidney disease
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

Code Classification

  • Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
    (D50–D89)
    • Aplastic and other anemias and other bone marrow failure syndromes
      (D60-D64)
      • Anemia in chronic diseases classified elsewhere
        (D63)

D63.1 is a billable diagnosis code used to specify a medical diagnosis of anemia in chronic kidney disease. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

Approximate Synonyms

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
  • Anemia in chronic kidney disease
  • Anemia in chronic kidney disease
  • 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 of renal disease
  • Anemia of renal disease
  • Anemia of renal disease
  • Anemia of renal disease
  • Anemia secondary to renal failure
  • Anemia secondary to renal failure
  • Anemia secondary to renal failure
  • Anemia secondary to renal failure
  • Anemia, pre-end stage renal disease on erythropoietin protocol
  • Erythropoietin resistance in anemia of chronic kidney disease

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
Aplastic anemiaBLD003X - Not applicable.X - Not applicable.
Chronic kidney diseaseGEN003X - Not applicable.X - Not applicable.

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:

  • Manifestation diagnoses - Manifestation codes describe the manifestation of an underlying disease, not the disease itself, and therefore should not be used as a principal diagnosis.

Convert D63.1 to ICD-9-CM

  • ICD-9-CM Code: 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.

Patient Education


Anemia

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
  • Pregnancy
  • Ulcers
  • 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


[Learn More in MedlinePlus]

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 Disease

Overview of anemia in people with chronic kidney disease, a common complication in people with advanced kidney disease.
[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • 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. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.