The official ICD-9-CM guidelines for Coding and Reporting (Effective 10/1/2010) states
"When admission/encounter is for management of an anemia associated with the malignancy, and the treatment is only for anemia, the appropriate anemia code (such as 285.22) is designated as the principal diagnosis and is followed by the appropriate codes for the malignancy. Code 285.22 may also be used as a secondary code if the patient suffers from anemia and is being treated for the malignancy.
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