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ICD-10-CM 2027

ICD-10 code for Marchiafava-Micheli syndrome

D59.5

Paroxysmal nocturnal hemoglobinuria [Marchiafava-Micheli]

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Marchiafava-Micheli syndrome”. Page updated September 29, 2026.

About coding Marchiafava-Micheli syndrome

The ICD-10-CM code for Marchiafava-Micheli syndrome is D59.5 (Paroxysmal nocturnal hemoglobinuria [Marchiafava-Micheli]).

Within D59 (acquired hemolytic anemia), D59.5 is specifically for paroxysmal nocturnal hemoglobinuria [Marchiafava-Micheli]. Related codes cover drug-induced autoimmune hemolytic anemia (D59.0), other autoimmune hemolytic anemias (D59.1), drug-induced nonautoimmune hemolytic anemia (D59.2), hemolytic-uremic syndrome (D59.3), other nonautoimmune hemolytic anemias (D59.4), hemoglobinuria due to hemolysis from other external causes (D59.6), other acquired hemolytic anemias (D59.8) and unspecified (D59.9).

Don't report D59.5 together with the conditions in its Excludes1 note: hemoglobinuria NOS (R82.3).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

Don't confuse with (Excludes1 for D59.5)

  • hemoglobinuria NOS (R82.3)

Common questions about Marchiafava-Micheli syndrome ICD-10 codes

What is the ICD-10 code for Marchiafava-Micheli syndrome?

D59.5 — Paroxysmal nocturnal hemoglobinuria [Marchiafava-Micheli].

Is D59.5 billable?

Yes. D59.5 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can D59.5 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict D59.5 as a principal diagnosis.

Is D59.5 a CC or MCC?

No. D59.5 is neither a CC nor an MCC under MS-DRG v44.0.