Is D59.0 a billable ICD-10-CM code?

Yes. D59.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D59.0 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).

D59.0

D59.0 — Drug-induced autoimmune hemolytic anemia

Billable / specific codeICD-10-CM

D59.0 is a billable, specific ICD-10-CM code for drug-induced autoimmune hemolytic anemia. It is valid for submission on a claim.

Use additional code

Add a secondary code to capture the detail described below.

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Risk adjustment

D59.0 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

D59.0 is named in 18 Medicare coverage policies — 18 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A55639Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions
A56380Billing and Coding: Rituximab
A56464Billing and Coding: Flow Cytometry
A56718Billing and Coding: Intravenous Immunoglobulin (IVIG)

How D59.0 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 D59.0.

Disease, diseased›hemolytic›drug-induced
Anemia›hemolytic›autoimmune›drug-induced
Disease, diseased›autoimmune NOS›hemolytic›drug-induced
Anemia›hemolytic›due to›drugs›autoimmune

Related codes at this level

Codes that share D59. If D59.0 is not quite right, the correct code is usually one of these.

Questions about D59.0

Is D59.0 a billable ICD-10-CM code?: Yes. D59.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D59.0 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).