ICD-10-CM 2027 diagnosis code
D51.3Other dietary vitamin B12 deficiency anemia
D51.3 is a valid, billable ICD-10-CM code for other dietary vitamin b12 deficiency anemia. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About D51.3
D51.3 is the ICD-10-CM diagnosis code for other dietary vitamin B12 deficiency anemia. It belongs to category D51 (vitamin B12 deficiency anemia), block D50-D53 (nutritional anemias) and chapter 3 (diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Within D51, choose D51.3 (Other dietary vitamin B12 deficiency anemia) only when documentation doesn't support a more specific option: due to intrinsic factor deficiency (D51.0), due to selective vitamin B12 malabsorption with proteinuria (D51.1), Transcobalamin II deficiency (D51.2), other vitamin B12 deficiency anemias (D51.8) and unspecified (D51.9).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 811 (Red Blood Cell Disorders with MCC, relative weight 1.3988) and DRG 812 (Red Blood Cell Disorders without MCC, relative weight 0.9234), in MDC 16 (Diseases and Disorders of the Blood and Blood Forming Organs and Immunological Disorders), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 281.1 (other vitamin B12 deficiency anemia).
Coding notes
- Vegan anemia
Notes that apply from higher levels
Instructions written at a parent level also apply to D51.3.
› From D51 Vitamin B12 deficiency anemia
- deficiency of other B group vitamins (E53-)
Broader instructions also apply from Chapter 3: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism.
Alphabetic index entries
7 entriesTerms in the official ICD-10-CM index that lead to D51.3.
- Anemia (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound) › combined system disease NEC › due to dietary vitamin B12 deficiency
- Anemia (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound) › deficiency › vitamin B12 NOS › dietary
- Anemia (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound) › due to (in) (with) › dietary vitamin B12 deficiency
- Anemia (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound) › vegan
- Degeneration, degenerative › combined (spinal cord) (subacute) › with anemia (pernicious) › due to dietary vitamin B12 deficiency
- Neuropathy, neuropathic › vitamin B12 › with anemia (pernicious) › due to dietary deficiency
- Polyneuropathy (peripheral) › in (due to) › vitamin B12 deficiency › with anemia (pernicious) › due to dietary deficiency
Codes whose notes reference D51.3
- G32.0Code first
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 16 · Diseases and Disorders of the Blood and Blood Forming Organs and Immunological Disorders
ICD-9-CM equivalent
Converter →- 281.1Other vitamin B12 deficiency anemiaapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about D51.3
Is D51.3 billable?
- Yes. D51.3 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can D51.3 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict D51.3 as a principal diagnosis.
Is D51.3 a CC or MCC?
- No. D51.3 is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does D51.3 group to?
- D51.3 is used in the MS-DRG v44.0 logic for MS-DRG 811 (Red Blood Cell Disorders with MCC) and MS-DRG 812 (Red Blood Cell Disorders without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for D51.3?
- The CMS General Equivalence Mappings map D51.3 to ICD-9-CM 281.1.