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D73.1

Billable

Hypersplenism

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A condition where the spleen becomes overactive and destroys blood cells too quickly, leading to low blood cell counts.

Coding Tips

  • Hypersplenism is often secondary to other conditions; investigate and code the underlying cause if documented
  • Verify whether this is primary hypersplenism or secondary to conditions like cirrhosis, portal hypertension, or lymphoma

Excludes 1 — Do NOT code together

  • neutropenic splenomegaly (D73.81)
  • primary splenic neutropenia (D73.81)
  • splenitis, splenomegaly in late syphilis (A52.79)
  • splenitis, splenomegaly in tuberculosis (A18.85)
  • splenomegaly NOS (R16.1)
  • splenomegaly congenital (Q89.0)

Code Hierarchy

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