D59.5
Paroxysmal nocturnal hemoglobinuria [Marchiafava-Micheli]
Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 10 never code together
D50-D89chapter
Excludes2
- autoimmune disease (systemic) NOS (M35.9)M35.9
- certain conditions originating in the perinatal period (P00-P96)P00-P96
- complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Q00-Q99
- endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
- human immunodeficiency virus [HIV] disease (B20)B20
- injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
- neoplasms (C00-D49)C00-D49
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94
Excludes1 — never code together. The excluded condition and this one are mutually exclusive.
Excludes2 — not included here, but the patient may have both. Code both when documented.
Instructional notes
No further instructional notes apply.
Index entries leading here 4
Alongside this code 8 same parent — D59
D59.0 Drug-induced autoimmune hemolytic anemia D59.1 Other autoimmune hemolytic anemias category D59.2 Drug-induced nonautoimmune hemolytic anemia D59.3 Hemolytic-uremic syndrome category D59.4 Other nonautoimmune hemolytic anemias D59.6 Hemoglobinuria due to hemolysis from other external causes D59.8 Other acquired hemolytic anemias D59.9 Acquired hemolytic anemia, unspecified
Medications 1
MED-RT files conditions by MeSH, which carves the world differently from ICD-10. These are name matches on this code's description, offered as candidates — not as an assertion that they are this code.
Additional references
AHA Coding Clinic® Licence required
Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.