D57.03: Hb-SS disease with cerebral vascular involvement
D57.03 is a billable, specific ICD-10-CM code for hb-ss disease with cerebral vascular involvement. It is valid for submission on a claim.
Check D57.03 with the rest of the claim: free scrubberCode also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- , if applicable, cerebral infarction (I63.-)
Other codes that can never be billed with D57.03
Their own Excludes1 notes name this code, so the conflict is not listed above.
- D56.8Other thalassemias
Risk adjustment
D57.03 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 107 Sickle Cell Anemia (Hb-SS) and Thalassemia Beta Zero0.457 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
D57.03 is named in 18 Medicare coverage policies: 18 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55717Billing and Coding: Lab: Flow Cytometry
- A56464Billing and Coding: Flow Cytometry
- A56697Billing and Coding: Non-Invasive Vascular Studies
- A56718Billing and Coding: Intravenous Immunoglobulin (IVIG)
Alphabetic index entries that lead here
- Crisis›sickle-cell›with›cerebral vascular involvement
- Disease, diseased›sickle-cell›with›cerebral vascular involvement
- Disease, diseased›hemoglobin or Hb›S or SS›with›cerebral vascular involvement
Code history
Unchanged in every release from FY2024 to FY2027.