D58.1

D58.1: Hereditary elliptocytosis

Billable / specific codeICD-10-CM

D58.1 is a billable, specific ICD-10-CM code for hereditary elliptocytosis. It is valid for submission on a claim.

Check D58.1 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Elliptocytosis (congenital)
Ovalocytosis (congenital) (hereditary)

Excludes1 inherited from the categories above D58.1

A category’s note binds every code beneath it.

Written on D58: Other hereditary hemolytic anemias

hemolytic anemia of the newborn (P55.-)

Other codes that can never be billed with D58.1

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

D57Sickle-cell disorders
D75.0Familial erythrocytosis

Risk adjustment

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

Medicare coverage

D58.1 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

Dresbach's syndrome(elliptocytosis)
Elliptocytosis(congenital) (hereditary)
Elliptocytosis›Hb C(disease)
Elliptocytosis›hemoglobin disease
Syndrome›Dresbach's(elliptocytosis)
Disease, diseased›hemoglobin or Hb›elliptocytosis
Disease, diseased›hemoglobin or Hb›C›elliptocytosis

Code history

Unchanged in every release from FY2024 to FY2027.