ICD-10 Code D64.1 – Secondary sideroblastic anemia due to disease (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Secondary sideroblastic anemia due to disease is D64.1.
2026 ICD-10-CM Diagnosis Code D64.1 – Secondary sideroblastic anemia due to disease

What it is

D64.1 identifies anemia caused by an underlying disease process that interferes with normal red blood cell production. Use it when the record specifically documents secondary sideroblastic anemia due to disease.

Clinical signs

Patients may show general anemia findings such as fatigue, weakness, pallor, or shortness of breath. Clinical features vary; refer to documentation for the underlying disease and any marrow findings.

When to use this code

Use D64.1 when the provider links the anemia to another disease and documents it as secondary sideroblastic anemia. It may be appropriate when the chart notes marrow-related sideroblastic changes or a disease-driven anemia diagnosis. If the cause is unclear, check documentation before coding.

Do not use for

Do not use this code for iron deficiency anemia, unspecified anemia, or anemia without a documented disease cause. Do not assign it when the record only mentions sideroblastic changes without confirming secondary sideroblastic anemia due to disease.

Coding tip

Verify the linkage between the anemia and the underlying disease before assigning D64.1.

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