D59.39 — Other hemolytic-uremic syndrome
Is D59.39 billable?
Yes — D59.39 is billable for FY2027. D59.39 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. D59.39 may be submitted for encounters from October 1, 2026 through September 30, 2027.
D59.39 at a glance
| Code | D59.39 |
|---|---|
| Description | Other hemolytic-uremic syndrome |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does D59.39 group to?
D59.39 sits in MDC 15 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 791Prematurity with Major Problemsmedical
As a secondary diagnosis, D59.39 is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG.
How is D59.39 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to D59.39. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Syndrome › hemolytic-uremic › atypical
- Syndrome › hemolytic-uremic › secondary
- Syndrome › hemolytic-uremic › specified NEC
- Syndrome › hemolytic-uremic › atypical › secondary
- Syndrome › hemolytic-uremic › atypical › specified NEC
Code first
The underlying condition below must be sequenced before D59.39. D59.39 describes a manifestation and cannot be the principal or first-listed diagnosis.
Use additional code
Report an additional code alongside D59.39 to fully describe the condition. D59.39 is sequenced first.
- code, if applicable, for adverse effect to identify drug (T36-T50 with fifth or sixth character 5)
Code also
Two codes may be needed to describe the condition fully. Whether D59.39 is sequenced first depends on the reason for the encounter.
Inclusion terms
Alternative wording in documentation that is classified to D59.39.
- Atypical (nongenetic) hemolytic uremic syndrome
- Secondary hemolytic-uremic syndrome
Excludes2 — not included here — inherited from Chapter 3
The conditions below are not part of D59.39, but a patient may have both at the same time. When documentation supports it, D59.39 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)
Code also — inherited from D59.3
Two codes may be needed to describe the condition fully. Whether D59.39 is sequenced first depends on the reason for the encounter.
How long has D59.39 existed?
D59.39 first appears in FY2023.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.