R71.0

Precipitous drop in hematocrit

FY2027Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified/R70–R79 Abnormal findings on examination of blood, without diagnosis

BillableComplete code, valid to report
Care settingsHospital CC

R71.0 (also written R710) is a billable ICD-10-CM diagnosis code for precipitous drop in hematocrit. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 2 codes in category R71 (Abnormality of red blood cells). The Alphabetic Index lists it under 5 entries. Its coding notes include 9 Excludes1 entries and 11 Excludes2 entries.

Guidelines tip

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

Symptom and sign codes are acceptable when no definitive diagnosis has been established. They are not added for signs that are routinely associated with a diagnosis.

Guidelines I.C.18.a; I.C.18.bSymptom and sign codesRead the official text

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from R71 Abnormality of red blood cells
  • anemias (D50-D64)
  • anemia of premature infant (P61.2)
  • benign (familial) polycythemia (D75.0)
  • congenital anemias (P61.2-P61.4)
  • newborn anemia due to isoimmunization (P55.-)
  • polycythemia neonatorum (P61.1)
  • polycythemia NOS (D75.1)
  • polycythemia vera (D45)
  • secondary polycythemia (D75.1)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (11 notes)
Inherited from R70–R79 Abnormal findings on examination of blood, without diagnosis
  • abnormal findings on antenatal screening of mother (O28.-)
  • abnormalities of lipids (E78.-)
  • abnormalities of platelets and thrombocytes (D69.-)
  • abnormalities of white blood cells classified elsewhere (D70-D72)
  • coagulation hemorrhagic disorders (D65-D68)
  • diagnostic abnormal findings classified elsewhere - see Alphabetical Index
  • hemorrhagic and hematological disorders of newborn (P50-P61)
Inherited from Chapter 18 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
  • abnormal findings on antenatal screening of mother (O28.-)
  • certain conditions originating in the perinatal period (P04-P96)
  • signs and symptoms classified in the body system chapters
  • signs and symptoms of breast (N63, N64.5)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Hospital CC

Counts as a complication or comorbidity (CC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 6 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.

Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix C

Inclusion terms

Conditions classified to this code.

This code
  • Drop (precipitous) in hemoglobin
  • Drop in hematocrit

Notes

Also from chapter/block level (9 notes)
Inherited from Chapter 18 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
  • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
  • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
  • The conditions and signs or symptoms included in categories R00-R94 consist of:
    • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
    • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
    • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
    • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
    • (e) cases in which a more precise diagnosis was not available for any other reason;
    • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 5 entries