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.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Microdrepanocytosis
- Sickle-cell thalassemia NOS
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.
Medicare coverage
D57.40 is named in 9 Medicare coverage policies — 9 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How D57.40 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 D57.40.
- 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
Related codes at this level
Codes that share D57.4. If D57.40 is not quite right, the correct code is usually one of these.
Questions about D57.40
- Is D57.40 a billable ICD-10-CM code?
- Yes. D57.40 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D57.40 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).