ICD-10 D72.0
Billable / Specific HCC v28: 47Genetic anomalies of leukocytes
About ICD-10-CM D72.0
ICD-10-CM code D72.0 represents Genetic anomalies of leukocytes. This is a billable/specific code in the Blood and Blood-forming Organs chapter (block D72). The 2026 edition of ICD-10-CM D72.0 became effective on October 1, 2025.
Coding Tips for D72.0
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
D72.0 is a CMS-HCC v28 risk-adjustment code (category 47). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under D72.0. Per CMS ICD-10-CM Tabular 2026.
- Alder (granulation) (granulocyte) anomaly
- Alder syndrome
- Hereditary leukocytic hypersegmentation
- Hereditary leukocytic hyposegmentation
- Hereditary leukomelanopathy
- May-Hegglin (granulation) (granulocyte) anomaly
- May-Hegglin syndrome
- Pelger-Huët (granulation) (granulocyte) anomaly
- Pelger-Huët syndrome
Type 1 Excludes
Pure excludes, these codes can never be coded together with D72.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- Chédiak (-Steinbrinck)-Higashi syndrome (E70.330)
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for D72.0
Local Coverage Determinations (LCDs) from CMS MACs that list D72.0 as a covered diagnosis.
Showing top 10 of 41 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing D72.0.
1 Cigna
3 Medicare
CPT Codes Commonly Billed with D72.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert D72.0 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| D72.0 | 2882 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To D72.0
Other codes in section D70-D77 (Other disorders of blood and blood-forming organs).
ICD-10 D72.0, Billing FAQ
Is ICD-10 code D72.0 billable? +
Yes, D72.0 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 D72.0? +
ICD-10 D72.0 includes: Alder (granulation) (granulocyte) anomaly; Alder syndrome; Hereditary leukocytic hypersegmentation, and 6 more clinical synonyms.
What codes are Type 1 Excludes for D72.0? +
Type 1 Excludes (never code together with D72.0): Chédiak (-Steinbrinck)-Higashi syndrome (E70.330)
Does D72.0 affect Medicare Advantage HCC risk adjustment? +
Yes. D72.0 maps to CMS-HCC v28 category 47. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What ICD-9 codes does D72.0 map to? +
Per CMS GEMs, D72.0 maps to ICD-9 codes: 2882. Useful for legacy data review and historical claim analysis.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team