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  6. 2026 ICD-10-CM Code D58.1

2026 ICD-10-CM Diagnosis Code D58.1

Hereditary elliptocytosis

ICD-10-CM Code:
D58.1
ICD-10 Code for:
Hereditary elliptocytosis
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

D58.1 is a billable diagnosis code used to specify a medical diagnosis of hereditary elliptocytosis. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2025 through September 30, 2026.

Code Classification

  • Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
    D50–D89
    • Hemolytic anemias
      D55-D59
      • Other hereditary hemolytic anemias
        D58

Approximate Synonyms

The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.

  • Alport syndrome, intellectual disability, midface hypoplasia, elliptocytosis syndrome
  • Congenital nephritis
  • Elliptocytosis
  • Hereditary elliptocytosis
  • Hereditary elliptocytosis
  • Hereditary elliptocytosis
  • Hereditary elliptocytosis
  • Hereditary elliptocytosis
  • Hereditary elliptocytosis
  • Hereditary elliptocytosis
  • Hereditary elliptocytosis
  • Hereditary elliptocytosis
  • Hereditary elliptocytosis due to abnormal protein 4.1
  • Hereditary elliptocytosis due to alpha spectrin defect
  • Hereditary elliptocytosis due to beta spectrin defect in self-association
  • Hereditary elliptocytosis due to beta spectrin-ankyrin interaction
  • Hereditary elliptocytosis due to deficiency of protein 4.1
  • Hereditary elliptocytosis due to glycophorin C deficiency
  • Hereditary elliptocytosis with transient poikilocytosis
  • Homozygous hereditary elliptocytosis
  • Southeast Asian ovalocytosis
  • Stomatocytosis

Clinical Classification

Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.

They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.

Hemolytic anemia

CCSR Code: BLD002

Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.

Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Elliptocytosis

    a peripheral blood finding in which a large number of erythrocytes are shaped in an elliptical form.

  • Hereditary Elliptocytosis|Hereditary Ovalocytosis

    an inherited blood disorder in which a large number of red blood cells have an elliptical morphology.

  • SPTA1 wt Allele|Alpha-I Spectrin Gene|EL2|Elliptocytosis 2 Gene|HPP|HS3|SPH3|SPTA|Spectrin Alpha Chain, Erythrocyte Gene|Spectrin Alpha, Erythrocytic 1 wt Allele|Spectrin, Alpha, Erythrocytic 1 (Elliptocytosis 2) Gene|Spectrin, Alpha, Erythrocytic 1 Gene

    human spta1 wild-type allele is located in the vicinity of 1q23.1 and is approximately 76 kb in length. this allele, which encodes spectrin alpha chain, erythrocytic 1 protein, plays a role in erythrocyte membrane morphology. mutations in the gene are associated with elliptocytosis-2, hereditary pyropoikilocytosis and type 3 spherocytosis.

  • Stomatocytosis

    a condition where red blood cells have a central slit-like appearance.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Elliptocytosis (congenital)
  • Ovalocytosis (congenital) (hereditary)

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Index of External Cause of Injuries

References found for this diagnosis code in the External Cause of Injuries Index:

    • Disease, diseased
      • hemoglobin or Hb
        • C (Hb-C)
          • elliptocytosis
    • Disease, diseased
      • hemoglobin or Hb
        • elliptocytosis
    • Dresbach's syndrome(elliptocytosis)
    • Elliptocytosis(congenital) (hereditary)
    • Elliptocytosis(congenital) (hereditary)
      • Hb C (disease)
    • Elliptocytosis(congenital) (hereditary)
      • hemoglobin disease
    • Syndrome
      • Dresbach's (elliptocytosis)

Convert D58.1 to ICD-9-CM

Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.

Heredit elliptocytosis

ICD-9-CM: 282.1

This is a direct match with no additional mapping qualifiers. The absence of a flag generally means the mapping is considered exact or precise. In other words, the ICD-10 code maps cleanly to the ICD-9 code without qualification, approximation, or needing multiple codes.

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Patient Education


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.

Anemia has three main causes: blood loss, lack of red blood cell production, and high rates of red blood cell destruction.

Conditions that may lead to anemia include:

  • Heavy periods
  • Pregnancy
  • Ulcers
  • Colon polyps or colon cancer
  • Inherited disorders
  • A diet that does not have enough iron, folic acid or vitamin B12
  • Blood disorders such as sickle cell anemia and thalassemia, or cancer
  • Aplastic anemia, a condition that can be inherited or acquired
  • G6PD deficiency, a metabolic disorder

Anemia can make you feel tired, cold, dizzy, and irritable. You may be short of breath or have a headache.

Your doctor will diagnose anemia with a physical exam and blood tests. Treatment depends on the kind of anemia you have.

NIH: National Heart, Lung, and Blood Institute


[Learn More in MedlinePlus]

Code History

  • FY 2026 - No Change, effective from 10/1/2025 through 9/30/2026
  • FY 2025 - No Change, effective from 10/1/2024 through 9/30/2025
  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

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.