D59.5
Billable codeParoxysmal nocturnal hemoglobinuria [Marchiafava-Micheli]
The ICD-10 code for paroxysmal nocturnal hemoglobinuria [marchiafava-micheli] is D59.5.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
- hemoglobinuria NOS (R82.3)
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- D59.0Drug-induced autoimmune hemolytic anemia
- D59.1Other autoimmune hemolytic anemiasnon-billable header
- D59.2Drug-induced nonautoimmune hemolytic anemia
- D59.3Hemolytic-uremic syndromenon-billable header
- D59.4Other nonautoimmune hemolytic anemias
- D59.6Hemoglobinuria due to hemolysis from other external causes
- D59.8Other acquired hemolytic anemias
- D59.9Acquired hemolytic anemia, unspecified
- D59.5Paroxysmal nocturnal hemoglobinuria [Marchiafava-Micheli]
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 2832Approximate match
Associated MS-DRGs
D59.5 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.
- DRG 808Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with MCC
- DRG 809Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with CC
- DRG 810Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders without CC/MCC