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

ICD-10 D77

Billable / Specific

Other disorders of blood and blood-forming organs in diseases classified elsewhere

D77
Block
0
Synonyms
520
LCDs
4
Payer Policies
0
Linked CPTs

About ICD-10-CM D77

ICD-10-CM code D77 represents Other disorders of blood and blood-forming organs in diseases classified elsewhere. This is a billable/specific code in the Blood and Blood-forming Organs chapter (block D77). The 2026 edition of ICD-10-CM D77 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with D77. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • rupture of spleen due to Plasmodium vivax malaria (B51.0)
  • splenitis, splenomegaly in late syphilis (A52.79)
  • splenitis, splenomegaly in tuberculosis (A18.85)

Coding Notes

Code First

  • underlying disease, such as:
  • amyloidosis (E85.-)
  • congenital early syphilis (A50.0-)
  • echinococcosis (B67.0-B67.9)
  • malaria (B50.0-B54)
  • schistosomiasis [bilharziasis] (B65.0-B65.9)
  • vitamin C deficiency (E54)

Medicare LCD Coverage for D77

Local Coverage Determinations (LCDs) from CMS MACs that list D77 as a covered diagnosis.

520 LCDs

Showing top 10 of 520 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
Article ID: 56793, Effective: 2025-08-07 00:00:00, 89 covered, 1 non-covered
CPT 81456 →
CMS LCD: Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
Article ID: 56793, Effective: 2025-08-07 00:00:00, 89 covered, 1 non-covered
CPT 81455 →
CMS LCD: Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
Article ID: 56793, Effective: 2025-08-07 00:00:00, 89 covered, 1 non-covered
CPT 81451 →
CMS LCD: Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
Article ID: 56793, Effective: 2025-08-07 00:00:00, 89 covered, 1 non-covered
CPT 81450 →
CMS LCD: Billing and Coding: Molecular Pathology Procedures
Article ID: 56199, Effective: 2026-02-12 00:00:00, 561 covered, 9 non-covered
CPT 81316 →
CMS LCD: Billing and Coding: Molecular Pathology Procedures
Article ID: 56199, Effective: 2026-02-12 00:00:00, 561 covered, 9 non-covered
CPT 81465 →
CMS LCD: Billing and Coding: Molecular Pathology Procedures
Article ID: 56199, Effective: 2026-02-12 00:00:00, 561 covered, 9 non-covered
CPT 81167 →
CMS LCD: Billing and Coding: Molecular Pathology Procedures
Article ID: 56199, Effective: 2026-02-12 00:00:00, 561 covered, 9 non-covered
CPT 81405 →
CMS LCD: Billing and Coding: Molecular Pathology Procedures
Article ID: 56199, Effective: 2026-02-12 00:00:00, 561 covered, 9 non-covered
CPT 81201 →
CMS LCD: Billing and Coding: Molecular Pathology Procedures
Article ID: 56199, Effective: 2026-02-12 00:00:00, 561 covered, 9 non-covered
CPT 81263 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D77.

4 policies

4 Medicare

Billing and Coding: Molecular Pathology Procedures
Policy ID: ART-56199
Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
Policy ID: ART-56793
Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
Policy ID: ART-59898
Billing and Coding: Molecular Pathology Procedures
Policy ID: ART-60409

CPT Codes Commonly Billed with D77

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

No procedure linkages on file for D77

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 D77 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
D77 28989 10000

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

ICD-10 D77, Billing FAQ

Is ICD-10 code D77 billable? +

Yes, D77 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for D77? +

Type 1 Excludes (never code together with D77): rupture of spleen due to Plasmodium vivax malaria (B51.0); splenitis, splenomegaly in late syphilis (A52.79); splenitis, splenomegaly in tuberculosis (A18.85)

What ICD-9 codes does D77 map to? +

Per CMS GEMs, D77 maps to ICD-9 codes: 28989. 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 May 31, 2026.

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