D46
Header — not billableMyelodysplastic syndromes
The ICD-10 code for myelodysplastic syndromes is D46.
D46 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 9 more specific codes below.
Clinical notes
Excludes2 (not included here)
An Excludes2 note means the excluded condition is not part of this one, but a patient can have both at the same time — in that case both codes may be reported together.
- drug-induced aplastic anemia (D61.1)
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •If the associated manifestation or related condition noted above is also documented, an additional code should be reported alongside this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under D46
- D46.0Refractory anemia without ring sideroblasts, so stated
- D46.1Refractory anemia with ring sideroblasts
- D46.2Refractory anemia with excess of blasts [RAEB]non-billable header
- D46.4Refractory anemia, unspecified
- D46.9Myelodysplastic syndrome, unspecified
- D46.ARefractory cytopenia with multilineage dysplasia
- D46.BRefractory cytopenia with multilineage dysplasia and ring sideroblasts
- D46.CMyelodysplastic syndrome with isolated del(5q) chromosomal abnormality
- D46.ZOther myelodysplastic syndromes
Related codes in this category
- D37Neoplasm of uncertain behavior of oral cavity and digestive organsnon-billable header
- D38Neoplasm of uncertain behavior of middle ear and respiratory and intrathoracic organsnon-billable header
- D39Neoplasm of uncertain behavior of female genital organsnon-billable header
- D40Neoplasm of uncertain behavior of male genital organsnon-billable header
- D41Neoplasm of uncertain behavior of urinary organsnon-billable header
- D42Neoplasm of uncertain behavior of meningesnon-billable header
- D43Neoplasm of uncertain behavior of brain and central nervous systemnon-billable header
- D44Neoplasm of uncertain behavior of endocrine glandsnon-billable header
- D45Polycythemia vera
- D47Other neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissuenon-billable header
- D48Neoplasm of uncertain behavior of other and unspecified sitesnon-billable header
- D46Myelodysplastic syndromesnon-billable header