D57.09: Hb-SS disease with crisis with other specified complication
D57.09 is a billable, specific ICD-10-CM code for hb-ss disease with crisis with other specified complication. It is valid for submission on a claim.
Check D57.09 with the rest of the claim: free scrubberUse additional code
Add a secondary code to capture the detail described below.
Other codes that can never be billed with D57.09
Their own Excludes1 notes name this code, so the conflict is not listed above.
- D56.8Other thalassemias
Risk adjustment
D57.09 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
D57.09 is named in 21 Medicare coverage policies: 21 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A55717Billing and Coding: Lab: Flow Cytometry
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56464Billing and Coding: Flow Cytometry
Alphabetic index entries that lead here
- Crisis›sickle-cell›with›complication specified NEC
- Disease, diseased›sickle-cell›with›priapism
- Disease, diseased›sickle-cell›with›crisis›with›complication specified NEC
- Disease, diseased›hemoglobin or Hb›S or SS›with›crisis›with›specified complication
Code history
Unchanged in every release from FY2024 to FY2027.