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D57.218 vs D58

D57.218 (Sickle-cell/Hb-C disease with crisis with other specified complication) compared with D58 (Other hereditary hemolytic anemias), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. D57.218 carries an Excludes1 note covering D58: “other hemoglobinopathies (D58.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

D57.218Sickle-cell/Hb-C disease with crisis with other specified complicationD58Other hereditary hemolytic anemias
Billing statusBillableNon-billable header

Report instead: D58.0, D58.1, D58.2, D58.8, D58.9

ClassificationD50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89)D50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89)
DefinitionSickle-cell/Hb-C disease with crisis with other specified complication is a billable ICD-10-CM diagnosis code (D57.218).Other hereditary hemolytic anemias is a non-billable ICD-10-CM category code (D58).
Use additional code
code to identify complications, such as:
cholelithiasis (K80.-)
priapism (N48.32)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources