D59.8: Other acquired hemolytic anemias

Risk adjustment

D59.8 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

D59.8 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

• A55717Billing and Coding: Lab: Flow Cytometry
• A57689Billing and Coding: Lab: Flow Cytometry
• A59101Billing and Coding: Off-label Use of Rituximab and Rituximab Biosimilars