2026 ICD-10-CM Diagnosis Code P61.4Other congenital anemias, not elsewhere classified

ICD-10-CM Codes›P00–P96›P50-P61›P61

ICD-10-CM P61.4
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

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 2026 (October 1, 2025 through September 30, 2026). 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

ICD-10-CM Code
P61.4
Billable Status
Yes — Valid for Submission
Code Describes
Other congenital anemias, not elsewhere classified
Short Description
Other congenital anemias, not elsewhere classified
Same as the full description in the CMS dataset.
Parent Code
P61
Other perinatal hematological disorders

Code Classification

ChapterP00–P96Certain conditions originating in the perinatal period
SectionP50-P61Hemorrhagic and hematological disorders of newborn
CategoryP61Other perinatal hematological disorders
This CodeP61.4Other congenital anemias, not elsewhere classified

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

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Congenital anemia NOS

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Anemia(essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound)
      • congenital
    • Anemia(essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound)
      • newborn

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PNL011
Hemorrhagic and hematologic disorders of newborn
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Congenital Anemia

    anemia, the cause of which is present at birth.

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.

ICD-9-CM
776.5 Congenital anemia
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About P61.4Overview

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, 2025 through September 30, 2026.

What is the ICD-9 equivalent of P61.4?

Under the General Equivalence Mappings, other congenital anemias, not elsewhere classified converts to ICD-9-CM 776.5 (congenital anemia). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.