Is D57.213 a billable ICD-10-CM code?

Yes. D57.213 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D57.213 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).

D57.213

D57.213 — Sickle-cell/Hb-C disease with cerebral vascular involvement

Billable / specific codeICD-10-CM

D57.213 is a billable, specific ICD-10-CM code for sickle-cell/hb-c disease with cerebral vascular involvement. It is valid for submission on a claim.

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

, if applicable, cerebral infarction (I63.-)

Risk adjustment

D57.213 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

D57.213 is named in 16 Medicare coverage policies — 16 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A55717Billing and Coding: Lab: Flow Cytometry
A56464Billing and Coding: Flow Cytometry
A56718Billing and Coding: Intravenous Immunoglobulin (IVIG)
A56726Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)

How D57.213 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 D57.213.

Disease, diseased›sickle-cell›Hb-C›with›cerebral vascular involvement

Related codes at this level

Codes that share D57.21. If D57.213 is not quite right, the correct code is usually one of these.

Questions about D57.213

Is D57.213 a billable ICD-10-CM code?: Yes. D57.213 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D57.213 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).