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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 D56.3

Billable / Specific

Thalassemia minor

D56
Block
8
Synonyms
219
LCDs
11
Payer Policies
2
Linked CPTs

About ICD-10-CM D56.3

ICD-10-CM code D56.3 represents Thalassemia minor. This is a billable/specific code in the Blood and Blood-forming Organs chapter (block D56). The 2026 edition of ICD-10-CM D56.3 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under D56.3. Per CMS ICD-10-CM Tabular 2026.

  • Alpha thalassemia minor
  • Alpha thalassemia silent carrier
  • Alpha thalassemia trait
  • Beta thalassemia minor
  • Beta thalassemia trait
  • Delta-beta thalassemia minor
  • Delta-beta thalassemia trait
  • Thalassemia trait NOS

Type 1 Excludes

Pure excludes, these codes can never be coded together with D56.3. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • alpha thalassemia (D56.0)
  • beta thalassemia (D56.1)
  • delta-beta thalassemia (D56.2)
  • hemoglobin E-beta thalassemia (D56.5)
  • sickle-cell trait (D57.3)

Medicare LCD Coverage for D56.3

Local Coverage Determinations (LCDs) from CMS MACs that list D56.3 as a covered diagnosis.

219 LCDs

Showing top 10 of 219 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
Article ID: 57155, Effective: 2024-10-01 00:00:00, 115 covered, 0 non-covered
CPT 0198U →
CMS LCD: Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
Article ID: 57155, Effective: 2024-10-01 00:00:00, 115 covered, 0 non-covered
CPT 81109 →
CMS LCD: Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
Article ID: 57155, Effective: 2024-10-01 00:00:00, 115 covered, 0 non-covered
CPT 0197U →
CMS LCD: Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
Article ID: 57155, Effective: 2024-10-01 00:00:00, 115 covered, 0 non-covered
CPT 0183U →
CMS LCD: Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
Article ID: 57155, Effective: 2024-10-01 00:00:00, 115 covered, 0 non-covered
CPT 81107 →
CMS LCD: Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
Article ID: 57155, Effective: 2024-10-01 00:00:00, 115 covered, 0 non-covered
CPT 0186U →
CMS LCD: Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
Article ID: 57155, Effective: 2024-10-01 00:00:00, 115 covered, 0 non-covered
CPT 81106 →
CMS LCD: Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
Article ID: 57155, Effective: 2024-10-01 00:00:00, 115 covered, 0 non-covered
CPT 0184U →
CMS LCD: Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
Article ID: 57155, Effective: 2024-10-01 00:00:00, 115 covered, 0 non-covered
CPT 0221U →
CMS LCD: Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
Article ID: 57155, Effective: 2024-10-01 00:00:00, 115 covered, 0 non-covered
CPT 0200U →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D56.3.

11 policies

1 Cigna

Flow Cytometry - (0538)
Policy ID: MM_0538

5 Medicare

Billing and Coding: Lab: Flow Cytometry
Policy ID: ART-55717
Billing and Coding: Flow Cytometry
Policy ID: ART-56464
Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
Billing and Coding: Non-Invasive Vascular Studies
Policy ID: ART-56697
Billing and Coding: Intravenous Immunoglobulin (IVIG)
Policy ID: ART-56718

CPT Codes Commonly Billed with D56.3

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

2 linkages
  • J2791 CMS LCD: Billing and Coding: Intravenous Immunoglobulin (IVIG) CMS LCD
  • J2792 CMS LCD: Billing and Coding: Intravenous Immunoglobulin (IVIG) CMS LCD

Convert D56.3 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
D56.3 28246 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 D56.3, Billing FAQ

Is ICD-10 code D56.3 billable? +

Yes, D56.3 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to D56.3? +

ICD-10 D56.3 includes: Alpha thalassemia minor; Alpha thalassemia silent carrier; Alpha thalassemia trait, and 5 more clinical synonyms.

What codes are Type 1 Excludes for D56.3? +

Type 1 Excludes (never code together with D56.3): alpha thalassemia (D56.0); beta thalassemia (D56.1); delta-beta thalassemia (D56.2)

What CPT codes are commonly billed with D56.3? +

Procedures frequently paired with D56.3 include: J2791, J2792.

What ICD-9 codes does D56.3 map to? +

Per CMS GEMs, D56.3 maps to ICD-9 codes: 28246. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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