D56.3
D56.3: Thalassemia minor
Billable / specific codeICD-10-CM
D56.3 is a billable, specific ICD-10-CM code for thalassemia minor. It is valid for submission on a claim.
Check D56.3 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Alpha thalassemia minor
- Alpha thalassemia silent carrier
- Alpha thalassemia trait
- Beta thalassemia minor
- Beta thalassemia trait
- Delta-beta thalassemia minor
- Delta-beta thalassemia trait
- Thalassemia trait NOS
Other codes that can never be billed with D56.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
D56.3 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55717Billing and Coding: Lab: Flow Cytometry
- A56464Billing and Coding: Flow Cytometry
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56697Billing and Coding: Non-Invasive Vascular Studies
Alphabetic index entries that lead here
- Thalassemia›minor
- Thalassemia›trait
- Trait›Lepore
- Thalassemia›alpha›minor
- Thalassemia›alpha›silent carrier
- Thalassemia›alpha›trait
- Thalassemia›beta›minor
- Thalassemia›beta›trait
- Thalassemia›delta-beta›minor
- Thalassemia›delta-beta›trait
- Trait›hemoglobin›abnormal NEC›with thalassemia
Code history
Unchanged in every release from FY2024 to FY2027.