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ICD-10 Guide
ICD-10 CodesD58.8

D58.8

Billable

Other specified hereditary hemolytic anemias

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

Code Description

ICD-10 D58.8 is a billable code used to indicate a diagnosis of other specified hereditary hemolytic anemias.

Key Diagnostic Point:

D58.8 refers to a category of hereditary hemolytic anemias that do not fall under more specific classifications. Hemolytic anemias are characterized by the premature destruction of red blood cells, leading to anemia. This condition can arise from various genetic factors, including enzyme deficiencies such as glucose-6-phosphate dehydrogenase (G6PD) deficiency, which can cause hemolysis under oxidative stress. Other hereditary conditions include thalassemias, which are caused by mutations affecting hemoglobin production, and sickle cell disease, where abnormal hemoglobin leads to distorted red blood cells that can obstruct blood flow. The genetic basis of these conditions often requires detailed family history and genetic testing for accurate diagnosis. Patients may present with symptoms such as fatigue, pallor, jaundice, and splenomegaly. Management typically involves addressing the underlying cause, which may include blood transfusions, folic acid supplementation, or more advanced therapies like hydroxyurea for sickle cell disease. Understanding the specific type of hemolytic anemia is crucial for effective treatment and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of hereditary conditions leading to hemolytic anemia
  • Need for genetic testing and family history documentation
  • Differentiation from acquired hemolytic anemias
  • Potential for overlapping symptoms with other anemias

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to specify the type of hereditary hemolytic anemia
  • Misclassification of acquired vs. hereditary conditions
  • Lack of detailed family history

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Comprehensive lab results, genetic testing, and family history.

Common Clinical Scenarios

Diagnosis and management of hereditary hemolytic anemias, including G6PD deficiency and thalassemia.

Billing Considerations

Ensure accurate coding based on specific genetic tests and patient history.

Genetics

Documentation Requirements

Detailed genetic testing reports and family pedigree charts.

Common Clinical Scenarios

Counseling patients on hereditary risks and implications of hemolytic anemias.

Billing Considerations

Documentation must reflect the genetic basis of the condition for accurate coding.

Coding Guidelines

Inclusion Criteria

Use D58.8 When
  • Follow ICD
  • CM guidelines for coding hereditary conditions
  • Ensure to document the specific type of hemolytic anemia when applicable
  • Use additional codes for associated conditions or complications

Exclusion Criteria

Do NOT use D58.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with automated differential

Clinical Scenario

Used to evaluate anemia and hemolysis.

Documentation Requirements

Document the reason for the CBC and any relevant symptoms.

Specialty Considerations

Hematology specialists should ensure correlation with clinical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hereditary hemolytic anemias, improving the ability to track and manage these conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hereditary hemolytic anemias, improving the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hereditary hemolytic anemias, improving the ability to track and manage these conditions effectively.

Resources

Clinical References

  • •
    American Society of Hematology

Coding & Billing References

  • •
    American Society of Hematology

Frequently Asked Questions

What is the significance of coding D58.8?

Coding D58.8 accurately reflects the presence of hereditary hemolytic anemias, which is crucial for appropriate management and treatment planning.