D59.39: Other hemolytic-uremic syndrome
D59.39 is a billable, specific ICD-10-CM code for other hemolytic-uremic syndrome. It is valid for submission on a claim.
Check D59.39 with the rest of the claim: free scrubberCode first
The underlying condition must be sequenced before this code.
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Add a secondary code to capture the detail described below.
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Atypical (nongenetic) hemolytic uremic syndrome
- Secondary hemolytic-uremic syndrome
Risk adjustment
D59.39 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
D59.39 is named in 2 Medicare coverage policies: 2 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
- A59186Billing and Coding: Magnesium
Alphabetic index entries that lead here
- Syndrome›hemolytic-uremic›atypical
- Syndrome›hemolytic-uremic›secondary
- Syndrome›hemolytic-uremic›specified NEC
- Syndrome›hemolytic-uremic›atypical›secondary
- Syndrome›hemolytic-uremic›atypical›specified NEC
Code history
Unchanged in every release from FY2024 to FY2027.