2027 ICD-10-CM Diagnosis Code D55Anemia due to enzyme disorders
D55 is a non-billable ICD-10-CM category code for anemia due to enzyme disorders, so it cannot be submitted on claims. Use a more specific code from this category instead, such as D55.0, D55.1, D55.21, and D55.29.
Code Identity
Code Classification
Specific Coding for Anemia due to enzyme disordersOverview
Non-specific codes like D55 require more characters. Use one of these billable codes instead:
Use D55.0 for Anemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency
Use D55.1 for Anemia due to other disorders of glutathione metabolism
D55.2 for Anemia due to disorders of glycolytic enzymes
Use D55.21 for Anemia due to pyruvate kinase deficiency
Use D55.29 for Anemia due to other disorders of glycolytic enzymes
Use D55.3 for Anemia due to disorders of nucleotide metabolism
Use D55.8 for Other anemias due to enzyme disorders
Use D55.9 for Anemia due to enzyme disorder, unspecified
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to D55: its own notes plus those printed at Chapter 3. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- drug-induced enzyme deficiency anemia (D59.2)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may 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)
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name D55, its category, or a range that includes it.
Excludes1 3
These codes carry an Excludes1 note naming D55: they are not reported together with it, unless the two conditions are unrelated.
- Block E70-E88 Metabolic disordershemolytic anemias attributable to enzyme disorders (D55.-)
- E74.4 Disorders of pyruvate metabolism and gluconeogenesisdisorders of pyruvate metabolism and gluconeogenesis with anemia (D55.-)
- Block P50-P61 Hemorrhagic and hematological disorders of newborn
Patient EducationClinical
Anemia
If you have anemia, your blood does not carry enough oxygen to the rest of your body. The most common cause of anemia is not having enough iron. Your body needs iron to make hemoglobin. Hemoglobin is an iron-rich protein that gives the red color to blood. It carries oxygen from the lungs to the rest of the body.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About D55Overview
What is the ICD-10 code for anemia due to enzyme disorders?
D55 is the ICD-10-CM category for anemia due to enzyme disorders, but it is a non-billable header: claims need a more specific code from this category, listed on this page.
Is D55 (Anemia due to enzyme disorders) a billable code?
No. This is a category header that groups the codes for anemia due to enzyme disorders, and headers cannot be submitted on claims. Claims for anemia due to enzyme disorders need a more specific code from this category, such as D55.0, D55.1, and D55.21.
Can D55 be reported with D59.2?
Not as a rule. The Excludes1 note on D55 lists "drug-induced enzyme deficiency anemia (D59.2)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).