2027 ICD-10-CM Diagnosis Code P61.4Other congenital anemias, not elsewhere classified
ICD-10-CM Codes›P00–P96›P50-P61›P61
- Billable — Valid for Submission
- CC — Complication or Comorbidity
- Not Chronic
P61.4 is a billable ICD-10-CM diagnosis code for other congenital anemias, not elsewhere classified. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 794. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 93 closely related codes. Coders also document this condition as congenital anemia. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Hemorrhagic and hematologic disorders of newborn.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Congenital anemia
- Ghosal hematodiaphyseal dysplasia
- Late anemia of newborn
- Neonatal anemia
- Physiological anemia of infancy
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to P61.4: its own notes plus those printed at P61, block P50-P61, and Chapter 16. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Congenital anemia NOS
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- transient hypogammaglobulinemia of infancy (D80.7)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Notes
General instructions on how these codes are used.
- Codes from this chapter are for use on newborn records only, never on maternal records
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name P61.4, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming P61.4: they are not reported together with it, unless the two conditions are unrelated.
- R71 Abnormality of red blood cells
Excludes2 1
These codes carry an Excludes2 note naming P61.4: its condition is not part of those codes, and both may be reported when the patient has both.
- Block R70-R79 Abnormal findings on examination of blood, without diagnosis
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
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.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert P61.4 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About P61.4Overview
What is the ICD-10 code for other congenital anemias, not elsewhere classified?
The ICD-10-CM code for other congenital anemias, not elsewhere classified is P61.4 (sometimes written as P614). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is P61.4 (Other perinatal hematological disorders) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other congenital anemias, not elsewhere classified on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does P61.4 group to?
When other congenital anemias, not elsewhere classified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 794 (neonate with Other Significant Problems), which carries a relative weight of 1.4934. Higher weights mean higher Medicare reimbursement.
Is P61.4 a CC or MCC?
CMS lists P61.4 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 93 closely related codes in its exclusion list.
Can P61.4 be reported with D80.7?
Not as a rule. The Excludes1 note at P61, which applies to P61.4, lists "transient hypogammaglobulinemia of infancy (D80.7)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
