D59.12

D59.12: Cold autoimmune hemolytic anemia

Billable / specific codeICD-10-CM

D59.12 is a billable, specific ICD-10-CM code for cold autoimmune hemolytic anemia. It is valid for submission on a claim.

Check D59.12 with the rest of the claim: free scrubber

Inclusion terms

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

Chronic cold hemagglutinin disease
Cold agglutinin disease
Cold agglutinin hemoglobinuria
Cold type (primary) (secondary) (symptomatic) autoimmune hemolytic anemia
Cold type autoimmune hemolytic disease

Excludes2 inherited from the categories above D59.12

Not part of this code, but both may be coded when both are present.

Written on D59.1: Other autoimmune hemolytic anemias

Evans syndrome (D69.41)
hemolytic disease of newborn (P55.-)
paroxysmal cold hemoglobinuria (D59.6)

Risk adjustment

D59.12 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 109 Acquired Hemolytic, Aplastic, and Sideroblastic Anemias1.144 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

D59.12 is named in 16 Medicare coverage policies: 16 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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

Alphabetic index entries that lead here

Cold›agglutinin disease or hemoglobinuria(chronic)
Cold›sensitivity, auto-immune
Sensitive, sensitivity›cold, autoimmune
Anemia›hemolytic›cold type(primary) (secondary) (symptomatic)
Disease, diseased›cold›agglutinin or hemoglobinuria
Disease, diseased›cold›hemagglutinin(chronic)
Hemoglobinuria›cold›agglutinin
Anemia›hemolytic›autoimmune›cold
Disease, diseased›autoimmune NOS›hemolytic›cold type(primary) (secondary) (symptomatic)
Disease, diseased›hemolytic›autoimmune›cold type(primary) (secondary) (symptomatic)
Anemia›hemolytic›primary›autoimmune›cold type
Anemia›hemolytic›secondary›autoimmune›cold type

Code history

Unchanged in every release from FY2024 to FY2027.