D57.212 — Sickle-cell/Hb-C disease with splenic sequestration
D57.212 is a billable, specific ICD-10-CM code for sickle-cell/hb-c disease with splenic sequestration. It is valid for submission on a claim.
Risk adjustment
D57.212 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.
Medicare coverage
D57.212 is named in 19 Medicare coverage policies — 19 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How D57.212 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D57.212.
- Disease, diseased›sickle-cell›Hb-C›with›splenic sequestration
Related codes at this level
Codes that share D57.21. If D57.212 is not quite right, the correct code is usually one of these.
- D57.211Sickle-cell/Hb-C disease with acute chest syndrome
- D57.213Sickle-cell/Hb-C disease with cerebral vascular involvement
- D57.214Sickle-cell/Hb-C disease with dactylitis
- D57.218Sickle-cell/Hb-C disease with crisis with other specified complication
- D57.219Sickle-cell/Hb-C disease with crisis, unspecified
Questions about D57.212
- Is D57.212 a billable ICD-10-CM code?
- Yes. D57.212 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D57.212 sit in the tabular list?
- Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89), in the block Hemolytic anemias (D55-D59).