D57.219 — Sickle-cell/Hb-C disease with crisis, unspecified
D57.219 is a billable, specific ICD-10-CM code for sickle-cell/hb-c disease with crisis, unspecified. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Sickle-cell/Hb-C disease with crisis NOS
- Sickle-cell/Hb-C disease with (vaso-occlusive) pain NOS
Risk adjustment
D57.219 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
D57.219 is named in 13 Medicare coverage policies — 13 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
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56718Billing and Coding: Intravenous Immunoglobulin (IVIG)
How D57.219 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 D57.219.
- Disease, diseased›sickle-cell›Hb-C›with›crisis
- Disease, diseased›sickle-cell›Hb-C›with›pain(vaso-occlusive)
Related codes at this level
Codes that share D57.21. If D57.219 is not quite right, the correct code is usually one of these.
- D57.211Sickle-cell/Hb-C disease with acute chest syndrome
- D57.212Sickle-cell/Hb-C disease with splenic sequestration
- 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
Questions about D57.219
- Is D57.219 a billable ICD-10-CM code?
- Yes. D57.219 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D57.219 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).