D55.9

D55.9: Anemia due to enzyme disorder, unspecified

Billable / specific codeICD-10-CM

D55.9 is a billable, specific ICD-10-CM code for anemia due to enzyme disorder, unspecified. It is valid for submission on a claim.

Check D55.9 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above D55.9

A category’s note binds every code beneath it.

Written on D55: Anemia due to enzyme disorders

drug-induced enzyme deficiency anemia (D59.2)

Other codes that can never be billed with D55.9

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

D55.9 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56718Billing and Coding: Intravenous Immunoglobulin (IVIG)
A57110Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
A57124Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
A57155Billing and Coding: MolDX: Blood Product Molecular Antigen Typing

Alphabetic index entries that lead here

Anemia›deficiency›enzyme
Anemia›due to›enzyme disorder
Anemia›hemolytic›due to›enzyme disorder
Anemia›hemolytic›hereditary›due to enzyme disorder

Code history

Unchanged in every release from FY2024 to FY2027.