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D61.01 vs D61.81

D61.01 (Constitutional (pure) red blood cell aplasia) compared with D61.81 (Pancytopenia), 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. D61.81 carries an Excludes1 note covering D61.01: “pancytopenia (due to) (with) congenital (pure) red cell aplasia (D61.01)”

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

D61.01Constitutional (pure) red blood cell aplasiaD61.81Pancytopenia
Billing statusBillableNon-billable header

Report instead: D61.810, D61.811, D61.818

ClassificationD50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89)D50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89)
DefinitionConstitutional (pure) red blood cell aplasia is a billable ICD-10-CM diagnosis code (D61.01).Pancytopenia is a non-billable ICD-10-CM category code (D61.81).
Includes
Blackfan-Diamond syndrome
Congenital (pure) red cell aplasia
Familial hypoplastic anemia
Primary (pure) red cell aplasia

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources