D55.21
D55.21: Anemia due to pyruvate kinase deficiency
Billable / specific codeICD-10-CM
D55.21 is a billable, specific ICD-10-CM code for anemia due to pyruvate kinase deficiency. It is valid for submission on a claim.
Check D55.21 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- PK deficiency anemia
- Pyruvate kinase deficiency anemia
Other codes that can never be billed with D55.21
Their own Excludes1 notes name this code, so the conflict is not listed above.
- E74.4Disorders of pyruvate metabolism and gluconeogenesis
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
D55.21 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56718Billing and Coding: Intravenous Immunoglobulin (IVIG)
Alphabetic index entries that lead here
- Anemia›pyruvate kinase deficiency
- Anemia›deficiency›PK
- Anemia›deficiency›pyruvate kinase
- Anemia›hemolytic›nonspherocytic›congenital or hereditary NEC›pyruvate kinase deficiency
Code history
Unchanged in every release from FY2024 to FY2027.