D57.4
Non-Billable

Sickle-cell thalassemia

Non-Billable / Non-Specific Code

What is Sickle-cell thalassemia?

ICD-10-CM D57.4 is the diagnosis code for Sickle-cell thalassemia. This code falls under the section "Hemolytic anemias" within Chapter 3 — Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions

Coding Guidelines for D57.4

✅ This Code Includes

  • Sickle-cell beta thalassemia
  • Thalassemia Hb-S disease

ICD-10-CM Code Hierarchy

Understanding where D57.4 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 6 entries
D57.40Sickle-cell thalassemia without crisisBillableD57.41Sickle-cell thalassemia, unspecified, with crisisNon-BillableD57.411Sickle-cell thalassemia, unspecified, with acute chest syndromeBillableD57.412Sickle-cell thalassemia, unspecified, with splenic sequestrationBillableD57.413Sickle-cell thalassemia, unspecified, with cerebral vascular involvementBillableD57.414Sickle-cell thalassemia, unspecified, with dactylitisBillableD57.418Sickle-cell thalassemia, unspecified, with crisis with other specified complicationBillableD57.419Sickle-cell thalassemia, unspecified, with crisisBillableD57.42Sickle-cell thalassemia beta zero without crisisBillableD57.43Sickle-cell thalassemia beta zero with crisisNon-BillableD57.431Sickle-cell thalassemia beta zero with acute chest syndromeBillableD57.432Sickle-cell thalassemia beta zero with splenic sequestrationBillableD57.433Sickle-cell thalassemia beta zero with cerebral vascular involvementBillableD57.434Sickle-cell thalassemia beta zero with dactylitisBillableD57.438Sickle-cell thalassemia beta zero with crisis with other specified complicationBillableD57.439Sickle-cell thalassemia beta zero with crisis, unspecifiedBillableD57.44Sickle-cell thalassemia beta plus without crisisBillableD57.45Sickle-cell thalassemia beta plus with crisisNon-BillableD57.451Sickle-cell thalassemia beta plus with acute chest syndromeBillableD57.452Sickle-cell thalassemia beta plus with splenic sequestrationBillableD57.453Sickle-cell thalassemia beta plus with cerebral vascular involvementBillableD57.454Sickle-cell thalassemia beta plus with dactylitisBillableD57.458Sickle-cell thalassemia beta plus with crisis with other specified complicationBillableD57.459Sickle-cell thalassemia beta plus with crisis, unspecifiedBillable
Related Codes

Frequently Asked Questions

Is D57.4 a billable ICD-10-CM code?

No, D57.4 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does D57.4 mean?

D57.4 is the ICD-10-CM diagnosis code for "Sickle-cell thalassemia". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of D57.4?

The parent code of D57.4 is D57 ("Sickle-cell disorders"). D57.4 provides a more specific classification within this category.

What section is D57.4 in?

D57.4 is located in Section D55-D59 — "Hemolytic anemias" within Chapter 3 of the ICD-10-CM Tabular List.

What are the sub-codes of D57.4?

D57.4 has 6 sub-code(s) that provide more specific detail: D57.40, D57.41, D57.42, D57.43, D57.44 and more.

When should I use D57.4?

Use D57.4 when the patients documented diagnosis matches "Sickle-cell thalassemia" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Sickle-cell thalassemia?

The ICD-10-CM code for Sickle-cell thalassemia is D57.4.

Can D57.4 be used for primary diagnosis?

No, D57.4 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is D57.4 in?

D57.4 is in Chapter 3 of the ICD-10-CM Tabular List.

Is D57.4 valid for 2026?

Yes, D57.4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousD57.3Sickle-cell traitNext →D57.40Sickle-cell thalassemia without crisis
Code Details
D57.4
Sickle-cell thalassemia
Non-Billable / Non-Specific Code
3 — Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)
D55-D59 — Hemolytic anemias
2026 ICD-10-CM