D58.1 — Hereditary elliptocytosis
Is D58.1 billable?
Yes — D58.1 is billable for FY2027. D58.1 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. D58.1 may be submitted for encounters from October 1, 2026 through September 30, 2027.
D58.1 at a glance
| Code | D58.1 |
|---|---|
| Description | Hereditary elliptocytosis |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does D58.1 group to?
D58.1 sits in MDC 16 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 811Red Blood Cell Disorders with MCCmedical
- 812Red Blood Cell Disorders without MCCmedical
How is D58.1 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to D58.1. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Dresbach's syndrome (elliptocytosis)
- Elliptocytosis (congenital) (hereditary)
- Elliptocytosis › Hb C (congenital) (hereditary)
- Elliptocytosis › hemoglobin disease (congenital) (hereditary)
- Syndrome › Dresbach's
- Disease, diseased › hemoglobin or Hb › elliptocytosis
- Disease, diseased › hemoglobin or Hb › C › elliptocytosis
Inclusion terms
Alternative wording in documentation that is classified to D58.1.
- Elliptocytosis (congenital)
- Ovalocytosis (congenital) (hereditary)
Excludes1 — never code together — inherited from D58
The conditions below can never be reported together with D58.1 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- hemolytic anemia of the newborn (P55.-)
Excludes2 — not included here — inherited from Chapter 3
The conditions below are not part of D58.1, but a patient may have both at the same time. When documentation supports it, D58.1 and the excluded code may both be reported.
- autoimmune disease (systemic) NOS (M35.9)
- certain conditions originating in the perinatal period (P00-P96)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- human immunodeficiency virus [HIV] disease (B20)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
How long has D58.1 existed?
D58.1 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with D58.1?
ICD-10-CM declares these codes mutually exclusive with D58.1 — exactly one of each pair can be correct for a given encounter.