Not Valid for Submission
D56 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of thalassemia. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding for Thalassemia
Non-specific codes like D56 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for thalassemia:
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code D56:
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- sickle-cell thalassemia D57.4
- THALASSEMIA-. a group of hereditary hemolytic anemias in which there is decreased synthesis of one or more hemoglobin polypeptide chains. there are several genetic types with clinical pictures ranging from barely detectable hematologic abnormality to severe and fatal anemia.
- ALPHA THALASSEMIA-. a disorder characterized by reduced synthesis of the alpha chains of hemoglobin. the severity of this condition can vary from mild anemia to death depending on the number of genes deleted.
- BETA THALASSEMIA-. a disorder characterized by reduced synthesis of the beta chains of hemoglobin. there is retardation of hemoglobin a synthesis in the heterozygous form thalassemia minor which is asymptomatic while in the homozygous form thalassemia major cooley's anemia mediterranean anemia erythroblastic anemia which can result in severe complications and even death hemoglobin a synthesis is absent.
Information for Patients
Thalassemias are inherited blood disorders. If you have one, your body makes fewer healthy red blood cells and less hemoglobin. Hemoglobin is a protein that carries oxygen to the body. That leads to anemia. Thalassemias occur most often among people of Italian, Greek, Middle Eastern, Southern Asian, and African descent.
Thalassemias can be mild or severe. Some people have no symptoms or mild anemia. The most common severe type in the United States is called Cooley's anemia. It usually appears during the first two years of life. People with it may have severe anemia, slowed growth and delayed puberty, and problems with the spleen, liver, heart, or bones.
Doctors diagnose thalassemias using blood tests. Treatments include blood transfusions and treatment to remove excess iron from the body. If you have mild symptoms or no symptoms, you may not need treatment. In some severe cases, you may need a bone marrow transplant.
NIH: National Heart, Lung, and Blood Institute
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