D59.4

D59.4: Other nonautoimmune hemolytic anemias

Billable / specific codeICD-10-CM

D59.4 is a billable, specific ICD-10-CM code for other nonautoimmune hemolytic anemias. It is valid for submission on a claim.

Check D59.4 with the rest of the claim: free scrubber

Inclusion terms

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

Mechanical hemolytic anemia
Microangiopathic hemolytic anemia
Toxic hemolytic anemia

Risk adjustment

D59.4 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

D59.4 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A59105Billing and Coding: Off-Label Use of Intravenous Immune Globulin (IVIG)

Alphabetic index entries that lead here

Nonautoimmune hemolytic anemia
Disease, diseased›nonautoimmune hemolytic
Syndrome›erythrocyte fragmentation
Anemia›hemolytic›mechanical
Anemia›hemolytic›microangiopathic
Anemia›hemolytic›nonautoimmune
Anemia›hemolytic›secondary
Anemia›hemolytic›symptomatic
Anemia›hemolytic›toxic
Anemia›hemolytic›acquired›infectious
Anemia›hemolytic›acquired›toxic
Anemia›hemolytic›due to›cardiac conditions

Code history

Unchanged in every release from FY2024 to FY2027.