Back to HomeBeta

ICD-10 Coding for Sickle Cell Anemia(D57.0, D57.1)

Complete ICD-10-CM coding and documentation guide for Sickle Cell Anemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Sickle Cell DiseaseSickle Cell DisorderSCD

Quick Navigation

Related ICD-10 Code Ranges

Complete code families applicable to Sickle Cell Anemia

D57.0-D57.9Primary Range

Sickle-cell disorders

This range includes all sickle cell disorders, differentiating between those with and without crisis, as well as specific genotypes like HbSS and HbSC.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
D57.0Sickle-cell anemia without crisisUse when the patient has sickle-cell anemia but is not currently experiencing a crisis.
  • Hemoglobin electrophoresis confirming HbSS
  • Absence of acute crisis symptoms
D57.1Sickle-cell anemia with crisisUse when the patient is experiencing an acute sickle-cell crisis.
  • Hemoglobin electrophoresis confirming HbSS
  • Documentation of acute crisis symptoms such as severe pain or organ dysfunction

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for sickle cell anemia with crisis

Essential facts and insights about Sickle Cell Anemia

The ICD-10 code for sickle cell anemia with crisis is D57.1, used for patients experiencing an acute crisis.

Primary ICD-10-CM Codes for sickle cell anemia

D57.0
Sickle-cell anemia without crisis
Non-billable Code

Decision Criteria

clinical Criteria

  • Patient has HbSS genotype without acute crisis symptoms.

Applicable To

  • HbSS without crisis

Excludes

  • Sickle-cell anemia with crisis (D57.1)

Clinical Validation Requirements

  • Hemoglobin electrophoresis confirming HbSS
  • Absence of acute crisis symptoms

Code-Specific Risks

  • Misclassification if crisis symptoms are present but not documented

Coding Notes

  • Ensure crisis symptoms are clearly documented to avoid misclassification.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Acute pain due to sickle-cell crisis

G89.21
Use when documenting pain management during a crisis.

Acute chest syndrome

J18.9
Use when acute chest syndrome is present during a crisis.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Sickle-cell anemia with crisis

D57.1
Presence of acute crisis symptoms such as severe pain or organ dysfunction.

Sickle-cell anemia without crisis

D57.0
Absence of acute crisis symptoms.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Sickle Cell Anemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D57.0.

Impact

Clinical: Inadequate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Use structured templates for crisis documentation., Ensure all symptoms and triggers are recorded.

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate patient records and data reporting.

Mitigation Strategy

Ensure genotype is confirmed via hemoglobin electrophoresis and documented.

Impact

Lack of detailed crisis documentation can lead to audit issues.

Mitigation Strategy

Implement detailed documentation templates and regular training.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Sickle Cell Anemia, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Sickle Cell Anemia

Use these documentation templates to ensure complete and accurate documentation for Sickle Cell Anemia. These templates include all required elements for proper coding and billing.

Emergency Department Visit for Sickle Cell Crisis

Specialty: Emergency Medicine

Required Elements

  • Patient age and genotype
  • Crisis symptoms and triggers
  • Pain assessment and management
  • Lab and imaging results

Example Documentation

Patient is a 25-year-old with HbSS presenting with severe back pain and fever. Crisis triggered by dehydration. Requires IV morphine and fluids.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has sickle cell and is in pain.
Good Documentation Example
25-year-old with HbSS presents with acute vaso-occlusive crisis, severe lumbar pain, and fever. Triggered by dehydration. Treated with IV morphine.
Explanation
The good example provides specific details on genotype, crisis type, symptoms, and treatment, which are necessary for accurate coding.

Need help with ICD-10 coding for Sickle Cell Anemia? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

We build tools for
clinician happiness.

Learn More at Freed.ai
Back to HomeBeta

Built by Freed

Try Freed for free for 7 days.

Learn more

Helpful Links

How ICD 10 AI Lookup WorksContact UsPrivacy Policy