D77

D77: Other disorders of blood and blood-forming organs in diseases classified elsewhere

Billable / specific codeICD-10-CM

D77 is a billable, specific ICD-10-CM code for other disorders of blood and blood-forming organs in diseases classified elsewhere. It is valid for submission on a claim.

Check D77 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.

rupture of spleen due to Plasmodium vivax malaria (B51.0)
splenitis, splenomegaly in late syphilis (A52.79)
splenitis, splenomegaly in tuberculosis (A18.85)

Code first

The underlying condition must be sequenced before this code.

underlying disease, such as:
amyloidosis (E85.-)
congenital early syphilis (A50.0-)
echinococcosis (B67.0-B67.9)
malaria (B50.0-B54)
schistosomiasis [bilharziasis] (B65.0-B65.9)
vitamin C deficiency (E54)

Risk adjustment

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

Medicare coverage

D77 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56199Billing and Coding: Molecular Pathology Procedures
A56793Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
A59898Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
A60409Billing and Coding: Molecular Pathology Procedures

Code history

Unchanged in every release from FY2024 to FY2027.