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ICD-10-CM Code D47.4

Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
| ICD-10 from 2011 - 2016

D47.4 is a billable ICD code used to specify a diagnosis of osteomyelofibrosis. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

The ICD code D474 is used to code Myelofibrosis

Myelofibrosis, also known as osteomyelofibrosis, is a rare bone marrow cancer. It is currently classified as a myeloproliferative neoplasm, in which the proliferation of an abnormal clone of hematopoietic stem cells in the bone marrow and other sites results in fibrosis, or the replacement of the marrow with scar tissue.

Specialty: Hematology And Oncology
MeSH Code: D055728
ICD 9 Code: 289.83
Source: Wikipedia

Coding Notes for D47.4 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
Chronic idiopathic myelofibrosis
Myelofibrosis (idiopathic) (with myeloid metaplasia)
Myelosclerosis (megakaryocytic) with myeloid metaplasia
Secondary myelofibrosis in myeloproliferative disease
Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
Acute myelofibrosis - instead, use code C94.4-

MS-DRG Mapping

  • DRG Group #814-816 - Reticuloendothelial and immunity disorders with MCC.
  • DRG Group #814-816 - Reticuloendothelial and immunity disorders with CC.
  • DRG Group #814-816 - Reticuloendothelial and immunity disorders without CC or MCC.

Related Concepts SNOMET-CT

  • Ischemic myelofibrosis (disorder)

Coding Advice SNOMET-CT

  • Possible requirement for morphology code

ICD-10-CM Alphabetical Index References for 'D47.4 - Osteomyelofibrosis'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code D47.4. Click on any term below to browse the alphabetical index.


Other specified diseases of blood and blood-forming organs (approximate match)

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code D47.4 and a single ICD9 code, 289.89 is an approximate match for comparison and conversion purposes.

Parent Code: D47 - Other neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/D474