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 CodesD57.09

D57.09

Billable

Hb-SS disease with crisis with other specified complication

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

Code Description

ICD-10 D57.09 is a billable code used to indicate a diagnosis of hb-ss disease with crisis with other specified complication.

Key Diagnostic Point:

Hb-SS disease, also known as sickle cell disease, is a genetic blood disorder characterized by the presence of hemoglobin S (HbS). This condition leads to the distortion of red blood cells into a sickle shape, which can cause blockages in blood vessels, leading to pain crises and other complications. Patients with Hb-SS disease often experience hemolytic anemia due to the rapid breakdown of sickle-shaped cells, leading to a variety of symptoms including fatigue, jaundice, and increased risk of infections. The 'crisis' refers to episodes of severe pain, often in the chest, abdomen, or joints, caused by vaso-occlusive events. The 'other specified complication' may include acute chest syndrome, stroke, or organ damage, which can arise from the disease's progression or from specific triggers such as dehydration or infection. Management of Hb-SS disease requires a multidisciplinary approach, including pain management, hydration, and possibly blood transfusions or hydroxyurea therapy to reduce the frequency of crises and complications.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in clinical presentation and complications
  • Need for precise documentation of crisis type and complications
  • Differentiation from other types of sickle cell disease
  • Potential for overlapping diagnoses (e.g., thalassemia)

Audit Risk Factors

  • Inadequate documentation of crisis severity
  • Failure to specify complications accurately
  • Misclassification of sickle cell type
  • Lack of supporting clinical evidence for the diagnosis

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed clinical notes on patient history, crisis episodes, and treatment plans.

Common Clinical Scenarios

Management of pain crises, blood transfusions, and complications like acute chest syndrome.

Billing Considerations

Ensure documentation reflects the severity and frequency of crises for accurate coding.

Pediatrics

Documentation Requirements

Growth and development assessments, vaccination status, and family history of sickle cell disease.

Common Clinical Scenarios

Routine management of sickle cell disease in children, including preventive care and crisis management.

Billing Considerations

Documenting the impact of the disease on the child's daily activities and school performance.

Coding Guidelines

Inclusion Criteria

Use D57.09 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the type of crisis and any specified complications
  • Include relevant clinical findings and treatment plans in the medical record

Exclusion Criteria

Do NOT use D57.09 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 sickle cell disease.

Documentation Requirements

Document the indication for transfusion and patient response.

Specialty Considerations

Hematology specialists should ensure that the transfusion protocol is followed.

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 disease and its complications, improving the accuracy of patient records and facilitating better management of the disease.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sickle cell disease and its complications, improving the accuracy of patient records and facilitating better management of the disease.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sickle cell disease and its complications, improving the accuracy of patient records and facilitating better management of the disease.

Resources

Clinical References

  • •
    Sickle Cell Disease Association of America

Coding & Billing References

  • •
    Sickle Cell Disease Association of America

Frequently Asked Questions

What is the difference between Hb-SS disease and sickle cell trait?

Hb-SS disease is a severe form of sickle cell disease characterized by significant health complications, while sickle cell trait is a carrier state that typically does not cause symptoms or complications.