D57.431 — Sickle-cell thalassemia beta zero with acute chest syndrome
D57.431 is a billable, specific ICD-10-CM code for sickle-cell thalassemia beta zero with acute chest syndrome. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- HbS-beta zero with acute chest syndrome
- Sickle-cell beta zero with acute chest syndrome
Risk adjustment
D57.431 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 107 Sickle Cell Anemia (Hb-SS) and Thalassemia Beta Zero0.457 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
D57.431 is named in 15 Medicare coverage policies — 15 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55717Billing and Coding: Lab: Flow Cytometry
- A56464Billing and Coding: Flow Cytometry
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56697Billing and Coding: Non-Invasive Vascular Studies
How D57.431 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 D57.431.
- Disease, diseased›hemoglobin or Hb›S or SS›beta zero›with›acute chest syndrome
- Disease, diseased›sickle-cell›thalassemia›beta zero›with›acute chest syndrome
Related codes at this level
Codes that share D57.43. If D57.431 is not quite right, the correct code is usually one of these.
- D57.432Sickle-cell thalassemia beta zero with splenic sequestration
- D57.433Sickle-cell thalassemia beta zero with cerebral vascular involvement
- D57.434Sickle-cell thalassemia beta zero with dactylitis
- D57.438Sickle-cell thalassemia beta zero with crisis with other specified complication
- D57.439Sickle-cell thalassemia beta zero with crisis, unspecified
Questions about D57.431
- Is D57.431 a billable ICD-10-CM code?
- Yes. D57.431 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D57.431 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).