Chapter 3: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
D50-D89
Chapter 3 of the ICD-10-CM tabular list covers diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism, codes D50-D89. It holds 401 codes across 7 blocks, of which 323 are billable and 78 are header codes that cannot go on a claim.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- autoimmune disease (systemic) NOS (M35.9)
- certain conditions originating in the perinatal period (P00-P96)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- human immunodeficiency virus [HIV] disease (B20)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Risk adjustment in Chapter 3
141 of this chapter’s codes map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded to the level the record supports.
- HCC 108 Sickle Cell Disorders, Except Sickle Cell Anemia (Hb-SS) and Thalassemia Beta Zero; Beta Thalassemia Major
- HCC 109 Acquired Hemolytic, Aplastic, and Sideroblastic Anemias
- HCC 112 Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions
- HCC 115 Specified Immunodeficiencies and White Blood Cell Disorders
- HCC 114 Common Variable and Combined Immunodeficiencies
- HCC 107 Sickle Cell Anemia (Hb-SS) and Thalassemia Beta Zero
Blocks in this chapter
- D50-D53Nutritional anemias23 codes
- D55-D59Hemolytic anemias96 codes
- D60-D64Aplastic and other anemias and other bone marrow failure syndromes37 codes
- D65-D69Coagulation defects, purpura and other hemorrhagic conditions50 codes
- D70-D77Other disorders of blood and blood-forming organs77 codes
- D78Intraoperative and postprocedural complications of the spleen18 codes
- D80-D89Certain disorders involving the immune mechanism100 codes