D57.40: Sickle-cell thalassemia without crisis
D57.40 is a billable, specific ICD-10-CM code for sickle-cell thalassemia without crisis. It is valid for submission on a claim.
Check D57.40 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Microdrepanocytosis
- Sickle-cell thalassemia NOS
Other codes that can never be billed with D57.40
Their own Excludes1 notes name this code, so the conflict is not listed above.
- D56.8Other thalassemias
Risk adjustment
D57.40 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
D57.40 is named in 9 Medicare coverage policies: 9 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56697Billing and Coding: Non-Invasive Vascular Studies
- A56758Billing and Coding: Non-Invasive Vascular Studies
- A57110Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
Alphabetic index entries that lead here
- Microdrepanocytosis
- Anemia›microdrepanocytosis
- Disease, diseased›sickle-cell›thalassemia
- Hemoglobinopathy›sickle-cell›with thalassemia
- Disease, diseased›sickle-cell›thalassemia›without crisis
- Hemoglobinopathy›sickle-cell›with thalassemia›without crisis
Code history
Unchanged in every release from FY2024 to FY2027.