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v1.0.0
ICD-10 Guide
ICD-10 CodesD58.2

D58.2

Billable

Other hemoglobinopathies

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

Code Description

ICD-10 D58.2 is a billable code used to indicate a diagnosis of other hemoglobinopathies.

Key Diagnostic Point:

Other hemoglobinopathies encompass a range of genetic disorders characterized by abnormal hemoglobin production, leading to various clinical manifestations, including hemolytic anemias. These conditions can arise from mutations in the globin genes, resulting in structural abnormalities of hemoglobin molecules. Common examples include thalassemias, where there is a reduced production of one or more globin chains, and sickle cell disease, which is caused by a single amino acid substitution in the beta-globin chain. Enzyme deficiencies, such as glucose-6-phosphate dehydrogenase (G6PD) deficiency, can also lead to hemolytic anemia, particularly under oxidative stress. The clinical presentation of hemoglobinopathies can vary widely, from asymptomatic carriers to severe anemia requiring transfusions. Diagnosis typically involves hemoglobin electrophoresis, complete blood counts, and genetic testing to identify specific mutations. Management strategies may include supportive care, blood transfusions, and in some cases, gene therapy. Understanding the genetic basis and clinical implications of these disorders is crucial for effective treatment and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of hemoglobinopathies with overlapping symptoms
  • Need for precise genetic testing and interpretation
  • Differentiation from other anemias and hemolytic conditions
  • Documentation of family history and genetic counseling

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to specify the type of hemoglobinopathy
  • Misclassification of hemolytic anemia types
  • Lack of family history documentation

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

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

Common Clinical Scenarios

Management of patients with diagnosed hemoglobinopathies, monitoring for complications.

Billing Considerations

Ensure accurate documentation of the specific type of hemoglobinopathy and any associated conditions.

Genetics

Documentation Requirements

Family history, genetic test results, and counseling notes.

Common Clinical Scenarios

Genetic counseling for families with a history of hemoglobinopathies.

Billing Considerations

Documentation must clearly outline the genetic basis of the condition and implications for family members.

Coding Guidelines

Inclusion Criteria

Use D58.2 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the specific hemoglobinopathy
  • Include relevant lab results and genetic testing information

Exclusion Criteria

Do NOT use D58.2 When
  • Exclude conditions that are specifically coded elsewhere

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count with automated differential

Clinical Scenario

Used to evaluate anemia in patients suspected of having hemoglobinopathies.

Documentation Requirements

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

Specialty Considerations

Hematology specialists should ensure that all relevant lab results are included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hemoglobinopathies, improving the accuracy of data collection and reimbursement processes. D58.2 provides a broader classification for various hemoglobin disorders, facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hemoglobinopathies, improving the accuracy of data collection and reimbursement processes. D58.2 provides a broader classification for various hemoglobin disorders, facilitating better patient management.

Reimbursement & Billing Impact

reimbursement processes. D58.2 provides a broader classification for various hemoglobin disorders, facilitating better patient management.

Resources

Clinical References

  • •
    CDC Hemoglobinopathies Overview

Coding & Billing References

  • •
    CDC Hemoglobinopathies Overview

Frequently Asked Questions

What are hemoglobinopathies?

Hemoglobinopathies are genetic disorders caused by abnormalities in the structure or production of hemoglobin, leading to various clinical manifestations, including anemia and increased risk of hemolysis.

How is D58.2 different from D56 and D57?

D58.2 is used for other hemoglobinopathies not specifically classified under thalassemia (D56) or sickle-cell disorders (D57). It encompasses a broader range of conditions.