2026 ICD-10-CM Diagnosis Code D55.8Other anemias due to enzyme disorders
ICD-10-CM Codes›D50–D89›D55-D59›D55
- Billable — Valid for Submission
- Chronic Condition
D55.8 is a billable ICD-10-CM diagnosis code for other anemias due to enzyme disorders. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 811 through 812. Coders also document this condition as anemia due to pentose phosphate pathway defect. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Hemolytic anemia.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Anemia due to pentose phosphate pathway defect
- Drug-induced enzyme deficiency anemia
- Hemolytic anemia due to adenylate kinase deficiency
- Hemolytic anemia due to erythrocyte adenosine deaminase overproduction
- HNSHA due to decreased adenosine deaminase activity
- HNSHA due to diphosphoglycerate mutase deficiency
- Nonspherocytic hemolytic anemia due to deficiency of adenosinetriphosphatase
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Anemia (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound) - D64.9
- deficiency - D53.9
- specified type NEC - D55.8
- hereditary - D58.9
- due to enzyme disorder - D55.9
- specified type NEC - D55.8
- congenital or hereditary NEC - D55.8
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Anemia(essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound)
- deficiency
- enzyme
- specified type NEC
- Anemia(essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound)
- hemolytic
- acute
- due to enzyme deficiency specified type NEC
- Anemia(essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound)
- hemolytic
- hereditary
- due to enzyme disorder
- specified type NEC
- Anemia(essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound)
- hemolytic
- nonspherocytic
- congenital or hereditary NEC
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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.
Convert D55.8 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About D55.8Overview
Is D55.8 (Anemia due to enzyme disorders) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other anemias due to enzyme disorders on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does D55.8 group to?
When other anemias due to enzyme disorders is the principal diagnosis on an inpatient stay, it groups to MS-DRG 811, 812, with relative weights from 0.9182 to 1.4043 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of D55.8?
Under the General Equivalence Mappings, other anemias due to enzyme disorders converts to ICD-9-CM 282.3 (enzyme defic anemia NEC). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.
