D56.4

D56.4: Hereditary persistence of fetal hemoglobin [HPFH]

Billable / specific codeICD-10-CM

D56.4 is a billable, specific ICD-10-CM code for hereditary persistence of fetal hemoglobin [hpfh]. It is valid for submission on a claim.

Check D56.4 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above D56.4

A category’s note binds every code beneath it.

Written on D56: Thalassemia

sickle-cell thalassemia (D57.4-)

Other codes that can never be billed with D56.4

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

D58.2Other hemoglobinopathies

Risk adjustment

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

Medicare coverage

D56.4 is named in 4 Medicare coverage policies: 4 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
A56718Billing and Coding: Intravenous Immunoglobulin (IVIG)
A57689Billing and Coding: Lab: Flow Cytometry

Alphabetic index entries that lead here

Hemoglobin›fetal, hereditary persistence(HPFH)
Persistence, persistent›hemoglobin, fetal(hereditary) (HPFH)
Persistence, persistent›fetal›hemoglobin, hereditary(HPFH)

Code history

Unchanged in every release from FY2024 to FY2027.