Version 2024

2024 ICD-10-CM Diagnosis Code D57.213

Sickle-cell/Hb-C disease with cerebral vascular involvement

ICD-10-CM Code:: D57.213
ICD-10 Code for:: Sickle-cell/Hb-C disease with cerebral vascular involvement
Is Billable?: Yes - Valid for Submission
Chronic Condition Indicator: ^[1]: Chronic
Code Navigator:

Code Information
Clinical Classification
Tabular List of Diseases and Injuries
Index to Diseases and Injuries References
Diagnostic Related Groups Mapping
Replacement Code
Patient Education
Other Codes Used Similar Conditions
Code History

Code Classification

Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
(D50–D89)
- Hemolytic anemias
  (D55-D59)
  - Sickle-cell disorders
    (D57)

D57.213 is a billable diagnosis code used to specify a medical diagnosis of sickle-cell/hb-c disease with cerebral vascular involvement. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

Clinical Classification

Clinical Category is Sickle cell trait/anemia
CCSR Category Code: BLD005
Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.

Code Also

, if applicable, cerebral infarction I63

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

- Disease, diseased - See Also: Syndrome;
- - sickle-cell - D57.1
  - - Hb-C - D57.20
    - - with
      - - cerebral vascular involvement - D57.213

D57.213 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
811	RED BLOOD CELL DISORDERS WITH MCC	16	1.4036
812	RED BLOOD CELL DISORDERS WITHOUT MCC	16	0.9007

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Replacement Code

D57213 replaces the following previously assigned ICD-10-CM code(s):

D57.219 - Sickle-cell/Hb-C disease with crisis, unspecified

Other ICD-10-CM Codes Commonly Used for Similar Conditions

Filter related codes list:

D57 Sickle-cell disorders.
D57.0 Hb-SS disease with crisis.
D57.00 Hb-SS disease with crisis, unspecified.
D57.01 Hb-SS disease with acute chest syndrome.
D57.02 Hb-SS disease with splenic sequestration.
D57.03 Hb-SS disease with cerebral vascular involvement.
D57.04 Hb-SS disease with dactylitis.
D57.09 Hb-SS disease with crisis with other specified complication.
D57.1 Sickle-cell disease without crisis.
D57.2 Sickle-cell/Hb-C disease.
D57.20 Sickle-cell/Hb-C disease without crisis.
D57.21 Sickle-cell/Hb-C disease with crisis.
D57.211 Sickle-cell/Hb-C disease with acute chest syndrome.
D57.212 Sickle-cell/Hb-C disease with splenic sequestration.
D57.214 Sickle-cell/Hb-C disease with dactylitis.
D57.218 Sickle-cell/Hb-C disease with crisis with other specified complication.
D57.219 Sickle-cell/Hb-C disease with crisis, unspecified.
D57.3 Sickle-cell trait.
D57.4 Sickle-cell thalassemia.
D57.40 Sickle-cell thalassemia without crisis.
D57.41 Sickle-cell thalassemia, unspecified, with crisis.
D57.411 Sickle-cell thalassemia, unspecified, with acute chest syndrome.
D57.412 Sickle-cell thalassemia, unspecified, with splenic sequestration.
D57.413 Sickle-cell thalassemia, unspecified, with cerebral vascular involvement.
D57.414 Sickle-cell thalassemia, unspecified, with dactylitis.
D57.418 Sickle-cell thalassemia, unspecified, with crisis with other specified complication.
D57.419 Sickle-cell thalassemia, unspecified, with crisis.
D57.42 Sickle-cell thalassemia beta zero without crisis.
D57.43 Sickle-cell thalassemia beta zero with crisis.
D57.431 Sickle-cell thalassemia beta zero with acute chest syndrome.
D57.432 Sickle-cell thalassemia beta zero with splenic sequestration.
D57.433 Sickle-cell thalassemia beta zero with cerebral vascular involvement.
D57.434 Sickle-cell thalassemia beta zero with dactylitis.
D57.438 Sickle-cell thalassemia beta zero with crisis with other specified complication.
D57.439 Sickle-cell thalassemia beta zero with crisis, unspecified.
D57.44 Sickle-cell thalassemia beta plus without crisis.
D57.45 Sickle-cell thalassemia beta plus with crisis.
D57.451 Sickle-cell thalassemia beta plus with acute chest syndrome.
D57.452 Sickle-cell thalassemia beta plus with splenic sequestration.
D57.453 Sickle-cell thalassemia beta plus with cerebral vascular involvement.
D57.454 Sickle-cell thalassemia beta plus with dactylitis.
D57.458 Sickle-cell thalassemia beta plus with crisis with other specified complication.
D57.459 Sickle-cell thalassemia beta plus with crisis, unspecified.
D57.8 Other sickle-cell disorders.
D57.80 Other sickle-cell disorders without crisis.
D57.81 Other sickle-cell disorders with crisis.
D57.811 Other sickle-cell disorders with acute chest syndrome.
D57.812 Other sickle-cell disorders with splenic sequestration.
D57.813 Other sickle-cell disorders with cerebral vascular involvement.
D57.814 Other sickle-cell disorders with dactylitis.
D57.818 Other sickle-cell disorders with crisis with other specified complication.

Code History

FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - Code Added, effective from 10/1/2020 through 9/30/2021

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
The condition places limitations on self-care, independent living, and social interactions.