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ICD-10-CM 2027

ICD-10 code for secondary myelofibrosis

From the official ICD-10-CM alphabetic index entry “Myelofibrosis › secondary”. Page updated September 29, 2026.

About coding secondary myelofibrosis

The ICD-10-CM code for secondary myelofibrosis is D75.81 (Myelofibrosis). The official index lists 1 more specific code, so check the documentation for details such as type, cause, site or severity before settling on D75.81.

Within D75.8 (other specified diseases of blood and blood-forming organs), D75.81 is specifically for myelofibrosis. Related codes cover Heparin induced thrombocytopenia (HIT) (D75.82), thrombocytosis (D75.83), other platelet-activating anti-PF4 disorders (D75.84) and other specified diseases of blood and blood-forming organs (D75.89).

Don't report D75.81 together with the conditions in its Excludes1 note: acute myelofibrosis (C94.4-), idiopathic myelofibrosis (D47.1), leukoerythroblastic anemia (D61.82), myelofibrosis with myeloid metaplasia (D47.4) and 3 more.

Code first the underlying disorder, such as: malignant neoplasm of breast (C50.-).

More specific secondary myelofibrosis codes (official index)

  • in myeloproliferative disease D47.4 — Osteomyelofibrosis

Don't confuse with (Excludes1 for D75.81)

  • acute myelofibrosis (C94.4-)
  • idiopathic myelofibrosis (D47.1)
  • leukoerythroblastic anemia (D61.82)
  • myelofibrosis with myeloid metaplasia (D47.4)
  • myelophthisic anemia (D61.82)
  • myelophthisis (D61.82)
  • primary myelofibrosis (D47.1)

Common questions about secondary myelofibrosis ICD-10 codes

What is the ICD-10 code for secondary myelofibrosis?

D75.81 — Myelofibrosis. More specific codes apply when the documentation supports them: D47.4.

Is D75.81 billable?

Yes. D75.81 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can D75.81 be used as a principal diagnosis?

No. It is a manifestation code, so it describes the effect of an underlying disease and can't be the principal diagnosis. Code the underlying condition first.

Is D75.81 a CC or MCC?

D75.81 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.