FY2027 ICD-10-CM reference
D56.1: Beta thalassemia
By the HCC Buddy Coding Team
The official ICD-10-CM descriptor is Beta thalassemia. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Billable code. Verified against the official FY2027 order file.
FY2027 Tabular instructions
Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.
Excludes2
autoimmune disease (systemic) NOS (M35.9)
Source: D50-D89 (chapter, inherited).
Excludes2
certain conditions originating in the perinatal period (P00-P96)
Source: D50-D89 (chapter, inherited).
Excludes2
complications of pregnancy, childbirth and the puerperium (O00-O9A)
Source: D50-D89 (chapter, inherited).
Excludes2
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
Source: D50-D89 (chapter, inherited).
Excludes2
endocrine, nutritional and metabolic diseases (E00-E88)
Source: D50-D89 (chapter, inherited).
Excludes2
human immunodeficiency virus [HIV] disease (B20)
Source: D50-D89 (chapter, inherited).
Excludes2
injury, poisoning and certain other consequences of external causes (S00-T88)
Source: D50-D89 (chapter, inherited).
Excludes2
neoplasms (C00-D49)
Source: D50-D89 (chapter, inherited).
Excludes2
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Source: D50-D89 (chapter, inherited).
Excludes1
sickle-cell thalassemia (D57.4-)
Source: D56 (category, inherited).
Instructional note
Beta thalassemia major
Source: D56.1 (self, direct).
Instructional note
Cooley's anemia
Source: D56.1 (self, direct).
Instructional note
Homozygous beta thalassemia
Source: D56.1 (self, direct).
Instructional note
Severe beta thalassemia
Source: D56.1 (self, direct).
Instructional note
Thalassemia intermedia
Source: D56.1 (self, direct).
Instructional note
Thalassemia major
Source: D56.1 (self, direct).
Excludes1
beta thalassemia minor (D56.3)
Source: D56.1 (self, direct).
Excludes1
beta thalassemia trait (D56.3)
Source: D56.1 (self, direct).
Excludes1
delta-beta thalassemia (D56.2)
Source: D56.1 (self, direct).
Excludes1
hemoglobin E-beta thalassemia (D56.5)
Source: D56.1 (self, direct).
Excludes1
sickle-cell beta thalassemia (D57.4-)
Source: D56.1 (self, direct).
Compare the FY2027 additions, removals and billable-status changes
What does D56.1 mean in FY2027?
The official ICD-10-CM descriptor is Beta thalassemia. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Is D56.1 billable in FY2027?
The FY2027 order file marks D56.1 as billable. Check the complete Tabular instructions and documentation before assigning it.
Does D56.1 map to an HCC?
HCC mapping verification is pending for this edition. No HCC category or RAF coefficient is shown.
Source: CMS FY2027 ICD-10-CM order file. Read the FY2027 Official Guidelines.
Review the FY2026 April edition