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D58.2 vs D74.0

D58.2 (Other hemoglobinopathies) compared with D74.0 (Congenital methemoglobinemia), 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. D58.2 carries an Excludes1 note covering D74.0: “Hb-M disease (D74.0)”

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

No — do not report together. D58.2 carries an Excludes1 note covering D74.0: “methemoglobinemia (D74.-)”

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

D58.2Other hemoglobinopathiesD74.0Congenital methemoglobinemia
Billing statusBillableBillable
ClassificationD50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89)D50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89)
DefinitionOther hemoglobinopathies is a billable ICD-10-CM diagnosis code (D58.2).Congenital methemoglobinemia is a billable ICD-10-CM diagnosis code (D74.0).
Includes
Abnormal hemoglobin NOS
Congenital Heinz body anemia
Hb-C disease
Hb-D disease
Congenital NADH-methemoglobin reductase deficiency
Hemoglobin-M [Hb-M] disease
Methemoglobinemia, hereditary

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