D57.20
D57.20: Sickle-cell/Hb-C disease without crisis
Billable / specific codeICD-10-CM
D57.20 is a billable, specific ICD-10-CM code for sickle-cell/hb-c disease without crisis. It is valid for submission on a claim.
Check D57.20 with the rest of the claim: free scrubberOther codes that can never be billed with D57.20
Their own Excludes1 notes name this code, so the conflict is not listed above.
- D56.8Other thalassemias
Risk adjustment
D57.20 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 108 Sickle Cell Disorders, Except Sickle Cell Anemia (Hb-SS) and Thalassemia Beta Zero; Beta Thalassemia Major0.146 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
D57.20 is named in 16 Medicare coverage policies: 16 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
- A56464Billing and Coding: Flow Cytometry
- A56718Billing and Coding: Intravenous Immunoglobulin (IVIG)
Alphabetic index entries that lead here
- Disease, diseased›sickle-cell›Hb-C
- Disease, diseased›sickle-cell›Hb-C›without crisis
Code history
Unchanged in every release from FY2024 to FY2027.