ICD-10/D61.81

D61.81 ICD 2026 Code: Pancytopenia

D61.81 is the authoritative medical code for Pancytopenia. This classification is used in medical billing and clinical recording to specify the clinical criteria for pancytopenia (ICD-10-CM D61.81), ensuring healthcare documentation aligns with 2026 federal coding standards.

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Pancytopenia is a non-billable ICD-10-CM category code D61.81. A more specific billable subcode must be selected for claims submission. Excludes1 (not coded here): pancytopenia (due to) with aplastic anemia D61.9; pancytopenia (due to) with bone marrow infiltration D61.82; pancytopenia (due to) with congenital pure red cell aplasia D61.01; pancytopenia (due to) with hairy cell leukemia C91.4-; pancytopenia (due to) with human immunodeficiency virus disease B20.-; pancytopenia (due to) with leukoerythroblastic anemia D61.82; pancytopenia (due to) with myeloproliferative disease D47.1. Excludes2 (not included here): pancytopenia (due to) with myelodysplastic syndromes D46.-; neutropenia D70.-.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for D61.81 in the official ICD-10-CM tabular list.

Excludes1 — Not Coded Here

Conditions that can never be reported with this code; the two are mutually exclusive.

  • pancytopenia (due to) with aplastic anemia D61.9
  • pancytopenia (due to) with bone marrow infiltration D61.82
  • pancytopenia (due to) with congenital pure red cell aplasia D61.01
  • pancytopenia (due to) with hairy cell leukemia C91.4-
  • pancytopenia (due to) with human immunodeficiency virus disease B20.-
  • pancytopenia (due to) with leukoerythroblastic anemia D61.82
  • pancytopenia (due to) with myeloproliferative disease D47.1

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

  • pancytopenia (due to) with myelodysplastic syndromes D46.-
  • neutropenia D70.-

Frequently Asked Questions (FAQ) & Clinical Guidance

Can D61.81 be billed directly?

No. D61.81 (Pancytopenia) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

What can't be coded together with D61.81?

Per Excludes1 instructions, D61.81 must not be reported with: pancytopenia (due to) (with) aplastic anemia (D61.9); pancytopenia (due to) (with) bone marrow infiltration (D61.82); pancytopenia (due to) (with) congenital (pure) red cell aplasia (D61.01); pancytopenia (due to) (with) hairy cell leukemia (C91.4-).

Can D61.81 be reported alongside related conditions?

Per Excludes2 instructions, D61.81 and the following may both be reported when both are present: pancytopenia (due to) (with) myelodysplastic syndromes (D46.-); neutropenia (D70.-).

Codes in This Family (16)

Official ICD-10-CM classifications in the same code family as D61.81, with their registry titles.

  • D61 — Other aplastic anemias and other bone marrow failure syndromes
  • D61.0 — Constitutional aplastic anemia
  • D61.01 — Constitutional (pure) red blood cell aplasia
  • D61.02 — Shwachman-Diamond syndrome
  • D61.03 — Fanconi anemia
  • D61.09 — Other constitutional aplastic anemia
  • D61.1 — Drug-induced aplastic anemia
  • D61.2 — Aplastic anemia due to other external agents
  • D61.3 — Idiopathic aplastic anemia
  • D61.8 — Other specified aplastic anemias and other bone marrow failure syndromes
  • D61.810 — Antineoplastic chemotherapy induced pancytopenia
  • D61.811 — Other drug-induced pancytopenia
  • D61.818 — Other pancytopenia
  • D61.82 — Myelophthisis
  • D61.89 — Other specified aplastic anemias and other bone marrow failure syndromes
  • D61.9 — Aplastic anemia, unspecified

Related Codes & Numerical Sequence (Crawl Map)

Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:

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