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v1.0.0
ICD-10 Guide
ICD-10 CodesD56.8

D56.8

Billable

Other thalassemias

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D56.8 is a billable code used to indicate a diagnosis of other thalassemias.

Key Diagnostic Point:

Thalassemias are a group of inherited blood disorders characterized by reduced or absent synthesis of one or more of the globin chains that make up hemoglobin. This results in ineffective erythropoiesis and hemolytic anemia. The term 'Other thalassemias' (D56.8) encompasses various forms of thalassemia that do not fall under the more commonly classified types, such as alpha or beta thalassemia. These may include rare genetic mutations leading to atypical presentations of thalassemia. Patients may present with symptoms such as fatigue, pallor, jaundice, and splenomegaly due to chronic hemolysis. Diagnosis typically involves complete blood counts, hemoglobin electrophoresis, and genetic testing to identify specific mutations. Management may include regular blood transfusions, iron chelation therapy, and in some cases, bone marrow transplantation. Understanding the genetic basis of these conditions is crucial for effective treatment and genetic counseling.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of genetic mutations leading to different presentations
  • Need for precise laboratory results for accurate diagnosis
  • Differentiation from other hemolytic anemias
  • Potential for co-existing conditions affecting coding

Audit Risk Factors

  • Inaccurate documentation of genetic testing results
  • Misclassification of thalassemia types
  • Failure to document co-existing conditions
  • Inadequate clinical rationale for transfusions

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed lab results, genetic testing outcomes, and treatment plans.

Common Clinical Scenarios

Management of patients with chronic anemia requiring transfusions.

Billing Considerations

Ensure documentation reflects the specific type of thalassemia and any complications.

Genetics

Documentation Requirements

Family history, genetic testing results, and counseling notes.

Common Clinical Scenarios

Genetic counseling for families with a history of thalassemia.

Billing Considerations

Accurate coding requires understanding of genetic inheritance patterns.

Coding Guidelines

Inclusion Criteria

Use D56.8 When
  • Follow the official ICD
  • CM coding guidelines for coding and reporting
  • Ensure that the diagnosis is supported by clinical documentation and that any related conditions are also coded appropriately

Exclusion Criteria

Do NOT use D56.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

Used to evaluate anemia in patients suspected of having thalassemia.

Documentation Requirements

Document the reason for the CBC and any relevant clinical findings.

Specialty Considerations

Hematologists should ensure that the CBC results are interpreted in the context of thalassemia.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of thalassemias, enabling better tracking of these conditions and their management. D56.8 provides a necessary code for atypical presentations that were previously underrepresented.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of thalassemias, enabling better tracking of these conditions and their management. D56.8 provides a necessary code for atypical presentations that were previously underrepresented.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of thalassemias, enabling better tracking of these conditions and their management. D56.8 provides a necessary code for atypical presentations that were previously underrepresented.

Resources

Clinical References

  • •
    Thalassemia International Federation

Coding & Billing References

  • •
    Thalassemia International Federation

Frequently Asked Questions

What is the difference between D56.8 and other thalassemia codes?

D56.8 is used for other thalassemias that do not fit into the more defined categories of alpha or beta thalassemia. It encompasses rare forms and atypical presentations.