D59.31 Infection-associated hemolytic-uremic syndrome

✓ Billable ICD-10-CM 2026
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The ICD-10-CM code for Infection-associated hemolytic-uremic syndrome is D59.31 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Section
D55-D59: Hemolytic anemias (D55-D59)
Category D59
19 codes (16 billable)
FY2026 Status
Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to D59.31:

  • Syndrome › hemolytic-uremic › Shiga toxin-producing E. coli [STEC] related
  • Syndrome › hemolytic-uremic › typical
  • Syndrome › hemolytic-uremic › infection-associated
  • Syndrome › hemolytic-uremic › atypical › infection-associated
Use Additional Code
  • code to identify associated infection, such as :
  • E. coli infection (B96.2-)
  • Human immunodeficiency virus [HIV] disease (B20)
  • Pneumococcal meningitis (G00.1)
  • Pneumococcal pneumonia (J13)
  • Sepsis due to Streptococcus pneumoniae (A40.3)
  • Shigella dysenteriae (A03.9)
  • Streptococcus pneumoniae as the cause of diseases classified elsewhere (B95.3)

Inclusion Terms

  • Shiga toxin-producing E. coli [STEC] related hemolytic uremic syndrome
  • Typical hemolytic uremic syndrome

U.S. Hospital Utilization

  • An estimated 585 U.S. inpatient stays in 2023 included D59.31 among the documented diagnoses.
  • 275 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Exception: HIV + hemolytic-uremic syndrome sequencing

An exception to this guideline is if the reason for admission is hemolytic-uremic syndrome associated with HIV disease. Assign code D59.31, Infection-associated hemolytic-uremic syndrome, followed by code B20, Human immunodeficiency virus [HIV] disease.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.1.a.2.b.1
Hemolytic-uremic syndrome associated with sepsis

9) Hemolytic-uremic syndrome associated with sepsis If the reason for admission is hemolytic-uremic syndrome that is associated with sepsis, assign code D59.31, Infection-associated hemolytic-uremic syndrome, as the principal diagnosis. Codes for the underlying systemic infection and any other conditions (such as severe sepsis) should be assigned as secondary diagnoses.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.1.d.9

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Related Codes

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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