D57.411 — Sickle-cell thalassemia, unspecified, with acute chest syndrome
D57.411 is a billable, specific ICD-10-CM code for sickle-cell thalassemia, unspecified, with acute chest syndrome. It is valid for submission on a claim.
Risk adjustment
D57.411 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
D57.411 is named in 12 Medicare coverage policies — 12 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56697Billing and Coding: Non-Invasive Vascular Studies
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
How D57.411 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 D57.411.
- Microdrepanocytosis›with›acute chest syndrome
- Disease, diseased›sickle-cell›thalassemia›with›acute chest syndrome
- Hemoglobinopathy›sickle-cell›with thalassemia›with›acute chest syndrome
Related codes at this level
Codes that share D57.41. If D57.411 is not quite right, the correct code is usually one of these.
- D57.412Sickle-cell thalassemia, unspecified, with splenic sequestration
- D57.413Sickle-cell thalassemia, unspecified, with cerebral vascular involvement
- D57.414Sickle-cell thalassemia, unspecified, with dactylitis
- D57.418Sickle-cell thalassemia, unspecified, with crisis with other specified complication
- D57.419Sickle-cell thalassemia, unspecified, with crisis
Questions about D57.411
- Is D57.411 a billable ICD-10-CM code?
- Yes. D57.411 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D57.411 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).