Is D57.812 a billable ICD-10-CM code?

Yes. D57.812 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D57.812 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).

D57.812

D57.812 — Other sickle-cell disorders with splenic sequestration

Billable / specific codeICD-10-CM

D57.812 is a billable, specific ICD-10-CM code for other sickle-cell disorders with splenic sequestration. It is valid for submission on a claim.

Risk adjustment

D57.812 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

D57.812 is named in 17 Medicare coverage policies — 17 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
A56421Billing and Coding: CT of the Abdomen and Pelvis
A56718Billing and Coding: Intravenous Immunoglobulin (IVIG)
A56726Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)

How D57.812 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 D57.812.

Disease, diseased›sickle-cell›Hb-SD›with›splenic sequestration
Disease, diseased›sickle-cell›Hb-SE›with›splenic sequestration
Disease, diseased›sickle-cell›specified NEC›with›splenic sequestration
Disease, diseased›sickle-cell›spherocytosis›with›splenic sequestration

Related codes at this level

Codes that share D57.81. If D57.812 is not quite right, the correct code is usually one of these.

Questions about D57.812

Is D57.812 a billable ICD-10-CM code?: Yes. D57.812 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D57.812 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).