D57.812 — Other sickle-cell disorders with splenic sequestration
Is D57.812 billable?
Yes — D57.812 is billable for FY2027. D57.812 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. D57.812 may be submitted for encounters from October 1, 2026 through September 30, 2027.
D57.812 at a glance
| Code | D57.812 |
|---|---|
| Description | Other sickle-cell disorders with splenic sequestration |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does D57.812 group to?
D57.812 sits in MDC 16 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 811Red Blood Cell Disorders with MCCmedical
- 812Red Blood Cell Disorders without MCCmedical
As a secondary diagnosis, D57.812 is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG.
How is D57.812 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to D57.812. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Disease, diseased › sickle-cell › Hb-SD › with › splenic sequestration
- Disease, diseased › sickle-cell › Hb-SE › with › splenic sequestration
- Disease, diseased › sickle-cell › specified NEC › with › splenic sequestration
- Disease, diseased › sickle-cell › spherocytosis › with › splenic sequestration
Excludes1 — never code together — inherited from D57
The conditions below can never be reported together with D57.812 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 D57.812 to fully describe the condition. D57.812 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 D57.812, but a patient may have both at the same time. When documentation supports it, D57.812 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 D57.812 existed?
D57.812 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the D57.81 family? (5)
- D57.811Other sickle-cell disorders with acute chest syndrome
- D57.813Other sickle-cell disorders with cerebral vascular involvement
- D57.814Other sickle-cell disorders with dactylitis
- D57.818Other sickle-cell disorders with crisis with other specified complication
- D57.819Other sickle-cell disorders with crisis, unspecified