ICD-10 · PDGM grouping
D58 Other hereditary hemolytic anemias
All 5 codes in the D58 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
5
Can lead a claim
5
Cannot lead a claim
0
What CMS assigns to D58
All 5 codes group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases. Comorbidity subgroups: 3 toward Hemolytic, Aplastic, and Other Anemias; 2 toward Nutritional, Enzymatic, and Other Heredity Anemias. Every code can lead a claim.
- Hemolytic, Aplastic, and Other Anemias: can award the low comorbidity tier as a secondary diagnosis.
- Nutritional, Enzymatic, and Other Heredity Anemias: counts toward the high comorbidity tier only in an interaction pair.
Every code in D58
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| D58.0 | Hereditary spherocytosis | Can lead a claim | K | Nutritional, Enzymatic, and Other Heredity Anemias |
| D58.1 | Hereditary elliptocytosis | Can lead a claim | K | Nutritional, Enzymatic, and Other Heredity Anemias |
| D58.2 | Other hemoglobinopathies | Can lead a claim | K | Hemolytic, Aplastic, and Other Anemias |
| D58.8 | Other specified hereditary hemolytic anemias | Can lead a claim | K | Hemolytic, Aplastic, and Other Anemias |
| D58.9 | Hereditary hemolytic anemia, unspecified | Can lead a claim | K | Hemolytic, Aplastic, and Other Anemias |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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