Is D59.3 a billable ICD-10-CM code?

No. D59.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does D59.3 sit in the tabular list?

Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89), in the block Hemolytic anemias (D55-D59).

D59.3

D59.3 — Hemolytic-uremic syndrome

Non-billable headerICD-10-CM

D59.3 is a non-billable header ICD-10-CM code for hemolytic-uremic syndrome. It cannot be billed on its own: choose one of the more specific child codes below.

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

, if applicable, any associated:
acute kidney failure (N17.-)
chronic kidney disease (N18.-)

Other codes that can never be billed with D59.3

These codes carry an Excludes1 note pointing at D59.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D59.3 alone.

N08Glomerular disorders in diseases classified elsewhere
D69.1Qualitative platelet defects

Risk adjustment

D59.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead D59.3

4 child codes. Green means billable.

Related codes at this level

Codes that share D59. If D59.3 is not quite right, the correct code is usually one of these.

Questions about D59.3

Is D59.3 a billable ICD-10-CM code?: No. D59.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does D59.3 sit in the tabular list?: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89), in the block Hemolytic anemias (D55-D59).