D58.1 Hereditary elliptocytosis

Billable ICD-10-CM code, FY2026.

Applicable to

• Elliptocytosis (congenital)
• Ovalocytosis (congenital) (hereditary)

Applies from D58 Other hereditary hemolytic anemias

Excludes1 (never code together)

• hemolytic anemia of the newborn (P55.-)

Risk adjustment (HCC)

• CMS-HCC V22: HCC 48 — Coagulation Defects and Other Specified Hematological Disorders
• ESRD V24: HCC 48

MS-DRG index

Defines the logic of DRG(s) 811-812 in MDC 16.

Approximate ICD-9-CM (GEMs)

• 282.1 Hereditary elliptocytosis

Code annotations containing back-references to D58.1

Back-references to D58.1

• Type 1 Excludes: D75.0 Familial erythrocytosis ("hereditary ovalocytosis (D58.1)")

Back-references to D58

• Type 1 Excludes: D57 Sickle-cell disorders ("other hemoglobinopathies (D58.-)")
• Code First: M90.5 Osteonecrosis in diseases classified elsewhere ("hemoglobinopathy (D50-D64)")
• Type 1 Excludes: R71 Abnormality of red blood cells ("anemias (D50-D64)")

Diagnosis Index entries for D58.1

• 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)

Nearby codes

• D58 Other hereditary hemolytic anemias
• D58.0 Hereditary spherocytosis
• D58.1 Hereditary elliptocytosis (this code)
• D58.2 Other hemoglobinopathies
• D58.8 Other specified hereditary hemolytic anemias
• D58.9 Hereditary hemolytic anemia, unspecified