MCMCB Pro
D57.218

D57.218Sickle-cell/Hb-C disease with crisis with other specified complication

Billable / specific codeICD-10-CM

D57.218 is a billable, specific ICD-10-CM code for sickle-cell/hb-c disease with crisis with other specified complication. It is valid for submission on a claim.

Use additional code

Add a secondary code to capture the detail described below.

  • code to identify complications, such as:
  • cholelithiasis (K80.-)
  • priapism (N48.32)

Risk adjustment

D57.218 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

D57.218 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 D57.218 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 D57.218.

  • Disease, diseasedsickle-cellHb-Cwithpriapism
  • Disease, diseasedsickle-cellHb-Cwithcrisiswithspecified complication NEC

Related codes at this level

Codes that share D57.21. If D57.218 is not quite right, the correct code is usually one of these.

Questions about D57.218

Is D57.218 a billable ICD-10-CM code?
Yes. D57.218 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D57.218 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).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.