ICD-10 Code D74 – Methemoglobinemia (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Methemoglobinemia is D74.
2026 ICD-10-CM Diagnosis Code D74 – Methemoglobinemia

What it is

D74 identifies methemoglobinemia, a disorder in which hemoglobin is altered and cannot carry oxygen normally. Use this code when the record documents methemoglobinemia, including acquired or congenital forms if no more specific code is given.

Clinical signs

Clinical features vary; refer to documentation. Commonly noted findings include cyanosis that does not improve as expected and signs of tissue hypoxia despite adequate oxygen delivery.

When to use this code

Use D74 when the provider diagnoses methemoglobinemia or records it as an active condition affecting care. It may appear after exposure to an oxidizing agent, a medication reaction, or as a hereditary condition. If the chart specifies a more detailed subtype, code that documented form instead.

Do not use for

Do not use D74 for unspecified cyanosis or general hypoxemia without documentation of methemoglobinemia. If the record does not clearly support the diagnosis, check documentation.

Coding tip

Confirm the diagnosis is explicitly stated in the assessment or discharge summary before assigning D74.

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