D58.0 — Hereditary spherocytosis
D58.0 is a billable, specific ICD-10-CM code for hereditary spherocytosis. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Acholuric (familial) jaundice
- Congenital (spherocytic) hemolytic icterus
- Minkowski-Chauffard syndrome
Risk adjustment
D58.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
D58.0 is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55717Billing and Coding: Lab: Flow Cytometry
- A56464Billing and Coding: Flow Cytometry
- A56718Billing and Coding: Intravenous Immunoglobulin (IVIG)
- A57110Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
How D58.0 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D58.0.
- Spherocytosis(congenital) (familial) (hereditary)
- Spherocytosis›hemoglobin disease
- Syndrome›Minkowski-Chauffard
- Anemia›congenital›spherocytic
- Disease, diseased›hemoglobin or Hb›spherocytosis
- Jaundice›newborn›spherocytosis(congenital)
Related codes at this level
Codes that share D58. If D58.0 is not quite right, the correct code is usually one of these.
Questions about D58.0
- Is D58.0 a billable ICD-10-CM code?
- Yes. D58.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D58.0 sit in the tabular list?
- Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89), in the block Hemolytic anemias (D55-D59).