MCMedicalCodingSoftware
D56

D56: Thalassemia

Non-billable headerICD-10-CM

D56 is a non-billable header ICD-10-CM code for thalassemia. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • sickle-cell thalassemia (D57.4-)

Other codes that can never be billed with D56

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • D56.0Alpha thalassemia
  • D56.1Beta thalassemia
  • D56.2Delta-beta thalassemia
  • D56.3Thalassemia minor
  • D56.5Hemoglobin E-beta thalassemia
  • D58.2Other hemoglobinopathies

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead D56

8 child codes. Green means billable.

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.