D59.31: Infection-associated hemolytic-uremic syndrome
D59.31 is a billable, specific ICD-10-CM code for infection-associated hemolytic-uremic syndrome. It is valid for submission on a claim.
Check D59.31 with the rest of the claim: free scrubberUse additional code
Add a secondary code to capture the detail described below.
- code to identify associated infection, such as :
- E. coli infection (B96.2-)
- Human immunodeficiency virus [HIV] disease (B20)
- Pneumococcal meningitis (G00.1)
- Pneumococcal pneumonia (J13)
- Sepsis due to Streptococcus pneumoniae (A40.3)
- Shigella dysenteriae (A03.9)
- Streptococcus pneumoniae as the cause of diseases classified elsewhere (B95.3)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Shiga toxin-producing E. coli [STEC] related hemolytic uremic syndrome
- Typical hemolytic uremic syndrome
Risk adjustment
D59.31 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
D59.31 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54548Billing and Coding: Eculizumab, and Biosimilars: EPYSQLI®-eculizumab-aagh, and BKEMV™-eculizumab-aeeb
- A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58720Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58747Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Alphabetic index entries that lead here
- Syndrome›hemolytic-uremic›infection-associated
- Syndrome›hemolytic-uremic›Shiga toxin-producing E. coli [STEC] related
- Syndrome›hemolytic-uremic›typical
- Syndrome›hemolytic-uremic›atypical›infection-associated
Code history
Unchanged in every release from FY2024 to FY2027.