D57.458: Sickle-cell thalassemia beta plus with crisis with other specified complication
D57.458 is a billable, specific ICD-10-CM code for sickle-cell thalassemia beta plus with crisis with other specified complication. It is valid for submission on a claim.
Check D57.458 with the rest of the claim: free scrubberUse additional code
Add a secondary code to capture the detail described below.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- HbS-beta plus with crisis with other specified complication
- Sickle-cell beta plus with crisis with other specified complication
Other codes that can never be billed with D57.458
Their own Excludes1 notes name this code, so the conflict is not listed above.
- D56.8Other thalassemias
Risk adjustment
D57.458 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
D57.458 is named in 14 Medicare coverage policies: 14 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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
Alphabetic index entries that lead here
- Disease, diseased›sickle-cell›thalassemia›beta plus›with›priapism
- Disease, diseased›sickle-cell›thalassemia›beta plus›with›crisis›with specified complication NEC
- Disease, diseased›hemoglobin or Hb›S or SS›beta plus›with›crisis›with›specified complication
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under D57.45
- D57.451Sickle-cell thalassemia beta plus with acute chest syndrome
- D57.452Sickle-cell thalassemia beta plus with splenic sequestration
- D57.453Sickle-cell thalassemia beta plus with cerebral vascular involvement
- D57.454Sickle-cell thalassemia beta plus with dactylitis
- D57.459Sickle-cell thalassemia beta plus with crisis, unspecified