D57.439 — Sickle-cell thalassemia beta zero with crisis, unspecified
D57.439 is a billable, specific ICD-10-CM code for sickle-cell thalassemia beta zero 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.
- HbS-beta zero with other specified complication
- Sickle-cell beta zero with crisis unspecified
- Sickle-cell thalassemia beta zero with (painful) crisis NOS
- Sickle-cell thalassemia beta zero with (vaso-occlusive) pain NOS
Risk adjustment
D57.439 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
D57.439 is named in 11 Medicare coverage policies — 11 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
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56464Billing and Coding: Flow Cytometry
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
How D57.439 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 D57.439.
- Disease, diseased›hemoglobin or Hb›S or SS›beta zero›with›crisis
- Disease, diseased›hemoglobin or Hb›S or SS›beta zero›with›pain(vaso-occlusive)
- Disease, diseased›sickle-cell›thalassemia›beta zero›with›crisis
- Disease, diseased›sickle-cell›thalassemia›beta zero›with›pain(vaso-occlusive)
Related codes at this level
Codes that share D57.43. If D57.439 is not quite right, the correct code is usually one of these.
- D57.431Sickle-cell thalassemia beta zero with acute chest syndrome
- 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
Questions about D57.439
- Is D57.439 a billable ICD-10-CM code?
- Yes. D57.439 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D57.439 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).