D57.434 — Sickle-cell thalassemia beta zero with dactylitis

BillableMCC

Is D57.434 billable?

Yes — D57.434 is billable for FY2027. D57.434 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. D57.434 may be submitted for encounters from October 1, 2026 through September 30, 2027.

D57.434 at a glance

Code	D57.434
Description	Sickle-cell thalassemia beta zero with dactylitis
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Which MS-DRGs does D57.434 group to?

D57.434 sits in MDC 15 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

791Prematurity with Major Problemsmedical

As a secondary diagnosis, D57.434 is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG.

How is D57.434 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to D57.434. They show the wording a clinician may have documented, which often differs from the Tabular description.

Dactylitis › sickle-cell › Beta zero
Disease, diseased › sickle-cell › thalassemia › beta zero › with › dactylitis
Disease, diseased › sickle-cell › thalassemia › beta zero › with › acute chest syndrome › with dactylitis
Disease, diseased › hemoglobin or Hb › S or SS › beta zero › with › crisis › with › dactylitis

Excludes1 — never code together — inherited from D57

The conditions below can never be reported together with D57.434 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

other hemoglobinopathies (D58.-)

Use additional code — inherited from D57

Report an additional code alongside D57.434 to fully describe the condition. D57.434 is sequenced first.

code for any associated fever (R50.81)

Excludes2 — not included here — inherited from Chapter 3

The conditions below are not part of D57.434, but a patient may have both at the same time. When documentation supports it, D57.434 and the excluded code may both be reported.

autoimmune disease (systemic) NOS (M35.9)
certain conditions originating in the perinatal period (P00-P96)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
human immunodeficiency virus [HIV] disease (B20)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

How long has D57.434 existed?

D57.434 first appears in FY2024.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.