D58.0
D58.0: Hereditary spherocytosis
Billable / specific codeICD-10-CM
D58.0 is a billable, specific ICD-10-CM code for hereditary spherocytosis. It is valid for submission on a claim.
Check D58.0 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Acholuric (familial) jaundice
- Congenital (spherocytic) hemolytic icterus
- Minkowski-Chauffard syndrome
Other codes that can never be billed with D58.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- D57Sickle-cell disorders
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
D58.0 is named in 8 Medicare coverage policies: 8 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)
- A57110Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
Alphabetic index entries that lead here
- Spherocytosis(congenital) (familial) (hereditary)
- Spherocytosis›hemoglobin disease
- Syndrome›Minkowski-Chauffard
- Anemia›congenital›spherocytic
- Disease, diseased›hemoglobin or Hb›spherocytosis
- Jaundice›newborn›spherocytosis(congenital)
Code history
Unchanged in every release from FY2024 to FY2027.