D52.8 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC Buddy coding tools

ICD-10-CM Code View

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Code lookupD52.8

Effective periodFY2026 Apr Update (Apr 1-Sep 30)

FY 2026 Apr update / Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) / Nutritional anemias (D50-D53)

D52.8

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Other folate deficiency anemias

Anemia resulting from folate deficiency due to causes other than diet or medications, such as increased folate demands or malabsorption disorders.

Overview Risk Models Code Book Documentation Audit Notes Edition comparison

CMS-HCC V28

N/A

—

Not risk-adjusted for this model/period.

Not mapped

CMS-HCC V24

Historical

Not used for standard CY2026 Medicare Advantage payment. Select a historical period to review V24.

Not used for CY2026 payment

ACA/HHS

N/A

—

Not risk-adjusted for this model/period.

Not mapped

ESRD/PACE

N/A

—

Not risk-adjusted for this model/period.

Not mapped

RXHCC

N/A

—

Not risk-adjusted for this model/period.

Not mapped

Code Book Path

Official

D52Folate deficiency anemia D52.8Other folate deficiency anemias

Inclusion Terms

Official

No inclusion terms are included in this display for D52.8. Check the code and parent instructions in the Code Book.

Excludes 2

Official

autoimmune disease (systemic) NOS (M35.9)Inherited from D50-D89
certain conditions originating in the perinatal period (P00-P96)Inherited from D50-D89
complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from D50-D89
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Inherited from D50-D89
endocrine, nutritional and metabolic diseases (E00-E88)Inherited from D50-D89
human immunodeficiency virus [HIV] disease (B20)Inherited from D50-D89
injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from D50-D89
neoplasms (C00-D49)Inherited from D50-D89
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from D50-D89

Related Codes

Official

D52.0Dietary folate deficiency anemia D52.1Drug-induced folate deficiency anemia D52.9Folate deficiency anemia, unspecified

Includes

Official

No Includes notes are included in this display for D52.8. Check the code and parent instructions in the Code Book.

Excludes 1

Official

folate deficiency without anemia (E53.8)Inherited from D52

Code First

Official

No Code First sequencing instructions are included in this display for D52.8. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for D52.8. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for D52.8. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance

Use this code only when the folate deficiency cause doesn't fit D52.0 or D52.1

Document the specific underlying cause (malabsorption, increased demand, etc.) to support medical necessity

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is D52.8 an HCC code?

No. D52.8 is a billable ICD-10-CM code with no mapping under the current CMS-HCC V28 community payment model, and none under the ESRD, Part D RxHCC, or HHS-HCC models.

Code: D52.8
Description: Other folate deficiency anemias
HCC (V28): No CMS-HCC V28 mapping
RAF reference coefficient: —
Billable: Yes
Payment year: 2026

Coder workflow notes

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What This Code Means

D52.8 is the ICD-10-CM diagnosis code for other folate deficiency anemias. Anemia resulting from folate deficiency due to causes other than diet or medications, such as increased folate demands or malabsorption disorders. D52.8 sits in the ICD-10-CM chapter for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (d50-d89), within the section covering nutritional anemias (d50-d53).

D52.8 is a billable ICD-10-CM code, but no current CMS-HCC V28 community payment mapping is shown, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.

Use this code only when the folate deficiency cause doesn't fit D52.0 or D52.1.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for D52.8 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

•Use this code only when the folate deficiency cause doesn't fit D52.0 or D52.1
•Document the specific underlying cause (malabsorption, increased demand, etc.) to support medical necessity