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Compare/D55 vs E88

D55 vs E88

D55 (Anemia due to enzyme disorders) compared with E88 (Other and unspecified metabolic disorders), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. E88 carries an Excludes1 note covering D55: “hemolytic anemias attributable to enzyme disorders (D55.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

D55Anemia due to enzyme disordersE88Other and unspecified metabolic disorders
Billing statusNon-billable header

Report instead: D55.0, D55.1, D55.21, D55.29, D55.3

Non-billable header

Report instead: E88.01, E88.02, E88.09, E88.10, E88.11

ClassificationD50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89)E00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)
DefinitionAnemia due to enzyme disorders is a non-billable ICD-10-CM category code (D55).Other and unspecified metabolic disorders is a non-billable ICD-10-CM category code (E88).
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codes for associated conditions

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources