D73.0

D73.0: Hyposplenism

Billable / specific codeICD-10-CM

D73.0 is a billable, specific ICD-10-CM code for hyposplenism. It is valid for submission on a claim.

Check D73.0 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

asplenia (congenital) (Q89.01)
postsurgical absence of spleen (Z90.81)

Inclusion terms

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

Atrophy of spleen

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

D73.0 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56421Billing and Coding: CT of the Abdomen and Pelvis
A56464Billing and Coding: Flow Cytometry
A57689Billing and Coding: Lab: Flow Cytometry

Alphabetic index entries that lead here

Hyposplenism
Asplenia›functional
Atrophy, atrophic›spleen(senile)
Cachexia›splenica
Degeneration, degenerative›spleen

Code history

Unchanged in every release from FY2024 to FY2027.