ICD-10 D57.44
Billable / Specific HCC v28: 46Sickle-cell thalassemia beta plus without crisis
About ICD-10-CM D57.44
ICD-10-CM code D57.44 represents Sickle-cell thalassemia beta plus without crisis. This is a billable/specific code in the Blood and Blood-forming Organs chapter (block D57). The 2026 edition of ICD-10-CM D57.44 became effective on October 1, 2025.
Coding Tips for D57.44
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
D57.44 is a CMS-HCC v28 risk-adjustment code (category 46). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under D57.44. Per CMS ICD-10-CM Tabular 2026.
- HbS-beta plus without crisis
- Sickle-cell beta plus without crisis
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for D57.44
Local Coverage Determinations (LCDs) from CMS MACs that list D57.44 as a covered diagnosis.
Showing top 10 of 259 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing D57.44.
5 Medicare
CPT Codes Commonly Billed with D57.44
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 93895 CMS LCD: Billing and Coding: Non-Invasive Cerebrovascular Studies CMS LCD
Codes Adjacent To D57.44
Other codes in section D55-D59 (Hemolytic anemias).
ICD-10 D57.44, Billing FAQ
Is ICD-10 code D57.44 billable? +
Yes, D57.44 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to D57.44? +
ICD-10 D57.44 includes: HbS-beta plus without crisis; Sickle-cell beta plus without crisis.
Does D57.44 affect Medicare Advantage HCC risk adjustment? +
Yes. D57.44 maps to CMS-HCC v28 category 46. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What CPT codes are commonly billed with D57.44? +
Procedures frequently paired with D57.44 include: 93895.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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