D57.431Sickle-cell thalassemia beta zero with acute chest syndrome

D57.431 is the ICD-10-CM diagnosis code for sickle-cell thalassemia beta zero with acute chest syndrome. It belongs to category D57 (sickle-cell disorders), block D55-D59 (hemolytic anemias) and chapter 3 (diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within D57.43 (sickle-cell thalassemia beta zero with crisis), D57.431 is specifically for sickle-cell thalassemia beta zero with acute chest syndrome. Related codes cover splenic sequestration (D57.432), cerebral vascular involvement (D57.433), dactylitis (D57.434), with other specified complication (D57.438) and unspecified (D57.439).

Use an additional code for any associated fever (R50.81).

As a secondary diagnosis it is an MCC (major complication or comorbidity), which can move an inpatient stay into the highest-paying "with MCC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 791 (Prematurity with Major Problems, relative weight 4.1075), DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), DRG 811 (Red Blood Cell Disorders with MCC, relative weight 1.3988) and DRG 812 (Red Blood Cell Disorders without MCC, relative weight 0.9234), in MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period) and MDC 16 (Diseases and Disorders of the Blood and Blood Forming Organs and Immunological Disorders), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It was added in FY2021, effective October 1, 2020.