D47.4 vs D61.82
D47.4 (Osteomyelofibrosis) compared with D61.82 (Myelophthisis), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. D61.82 carries an Excludes1 note covering D47.4: “myelofibrosis with myeloid metaplasia (D47.4)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| D47.4Osteomyelofibrosis | D61.82Myelophthisis | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | C00-D49 — Neoplasms (C00-D49) | D50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89) |
| Definition | Osteomyelofibrosis is a billable ICD-10-CM diagnosis code (D47.4). | Myelophthisis is a billable ICD-10-CM diagnosis code (D61.82). |
| Includes | Chronic idiopathic myelofibrosis Myelofibrosis (idiopathic) (with myeloid metaplasia) Myelosclerosis (megakaryocytic) with myeloid metaplasia Secondary myelofibrosis in myeloproliferative disease | Leukoerythroblastic anemia Myelophthisic anemia Panmyelophthisis |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources