ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesD57.811

D57.811

Billable

Other sickle-cell disorders with acute chest syndrome

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D57.811 is a billable code used to indicate a diagnosis of other sickle-cell disorders with acute chest syndrome.

Key Diagnostic Point:

D57.811 refers to a specific condition within the spectrum of sickle cell disorders characterized by the presence of acute chest syndrome (ACS). ACS is a severe complication of sickle cell disease, presenting with chest pain, fever, cough, and respiratory distress. It is primarily caused by vaso-occlusive crises leading to pulmonary infarction, infection, or fat embolism. Patients with sickle cell disorders experience hemolytic anemia due to the destruction of sickle-shaped red blood cells, which can lead to various complications, including acute chest syndrome. Genetic factors play a crucial role in the severity and frequency of these episodes, with different mutations in the HBB gene affecting hemoglobin structure and function. Management of ACS often requires hospitalization, oxygen therapy, pain management, and sometimes blood transfusions to alleviate symptoms and prevent further complications. Understanding the nuances of this condition is essential for accurate coding and appropriate patient management.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiation between various sickle cell disorders
  • Need for precise documentation of acute chest syndrome symptoms
  • Potential for co-morbid conditions affecting coding
  • Variability in clinical presentation among patients

Audit Risk Factors

  • Inadequate documentation of acute chest syndrome symptoms
  • Failure to document the underlying sickle cell disorder
  • Misclassification of the type of sickle cell disease
  • Lack of evidence for acute interventions provided

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed patient history, lab results, and treatment plans must be documented.

Common Clinical Scenarios

Management of acute chest syndrome in patients with sickle cell disease.

Billing Considerations

Genetic testing results and family history may be relevant for comprehensive care.

Pulmonology

Documentation Requirements

Documentation of respiratory assessments, imaging results, and treatment responses.

Common Clinical Scenarios

Evaluation and management of respiratory distress in patients with ACS.

Billing Considerations

Coordination with hematology for comprehensive management of sickle cell complications.

Coding Guidelines

Inclusion Criteria

Use D57.811 When
  • According to ICD
  • 10 guidelines, D57
  • 811 should be used when a patient with a sickle cell disorder presents with acute chest syndrome
  • Documentation must clearly indicate the acute nature of the symptoms and any relevant diagnostic tests performed

Exclusion Criteria

Do NOT use D57.811 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

36430CPT Code

Transfusion, blood or blood components

Clinical Scenario

Used during hospitalization for severe anemia due to acute chest syndrome.

Documentation Requirements

Document the need for transfusion based on hemoglobin levels and clinical symptoms.

Specialty Considerations

Hematology should be involved in the decision-making process for transfusions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sickle cell disorders, including acute complications like chest syndrome, improving data accuracy and patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sickle cell disorders, including acute complications like chest syndrome, improving data accuracy and patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sickle cell disorders, including acute complications like chest syndrome, improving data accuracy and patient management.

Resources

Clinical References

  • •
    Sickle Cell Disease Association of America

Coding & Billing References

  • •
    Sickle Cell Disease Association of America

Frequently Asked Questions

What is the significance of coding D57.811?

Coding D57.811 accurately reflects the presence of acute chest syndrome in patients with sickle cell disorders, which is critical for appropriate treatment and management.