D46.4: Refractory anaemia, unspecified

You have bone marrow disease. Your bone marrow no longer produces the blood cells properly.

The bone marrow is inside bone. The blood cells are formed in the bone marrow of some of the bones. There are 3 different types of blood cell: red blood cells, white blood cells and platelets. Red blood cells are important for carrying oxygen in the blood. White blood cells are part of the body’s immune system. They fight pathogens. Platelets are important for clotting blood.

Your bone marrow no longer produces the blood cells properly. The formed cells look changed or the percentage of different cells in the blood is changed. This can lead to the blood cells no longer working properly. You may then be ill more often or feel weak. It is also often possible to have no symptoms at all to start with. The disease is then only identified during another examination.

Additional indicator

On medical documents, the ICD code is often appended by letters that indicate the diagnostic certainty or the affected side of the body.

  • G: Confirmed diagnosis
  • V: Tentative diagnosis
  • Z: Condition after
  • A: Excluded diagnosis
  • L: Left
  • R: Right
  • B: Both sides

Further information

Note

This information is not intended for self-diagnosis and does not replace professional medical advice from a doctor. If you find an ICD code on a personal medical document, please also note the additional indicator used for diagnostic confidence.
Your doctor will assist you with any health-related questions and explain the ICD diagnosis code to you in a direct consultation if necessary.

Source

Provided by the non-profit organization “Was hab’ ich?” gemeinnützige GmbH on behalf of the Federal Ministry of Health (BMG).

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