D57.04
Hb-SS disease with dactylitis
Clinical Classification Guidelines
Medical Intelligence & Overview
Hb-SS disease, also known as sickle cell anemia, is a hereditary blood disorder characterized by the production of abnormal hemoglobin known as hemoglobin S. When this abnormal hemoglobin is present alongside dactylitis—a condition marked by swelling of the hands and feet—the condition is classified under ICD-10 code D57.04. This form of sickle cell disease can lead to various complications, including episodes of pain and tissue damage.
Causes & Symptoms
Clinical Causes: Inherited genetic mutation affecting hemoglobin production. Inheritance of one or two copies of the sickle cell gene (most often two for Hb-SS disease).
Key Symptoms: Swelling and pain in the hands and feet (dactylitis). Episodes of acute pain throughout the body. Chronic anemia leading to fatigue and weakness. Frequent infections. Delayed growth or puberty. Vision problems due to damage to the blood vessels in the eyes.
Diagnostic & Treatment
Diagnosis Path: Diagnosis is typically confirmed through a blood test called a hemoglobin electrophoresis, which identifies abnormal hemoglobin S. Other tests such as a complete blood count (CBC) can show anemia and abnormal red blood cells. In some cases, genetic testing might be performed to confirm sickle cell inheritance patterns. The presence of dactylitis can also support the diagnosis when combined with laboratory findings.
Treatment Protocols: While there is no universal cure for sickle cell disease, various treatments can help manage symptoms and reduce complications. These include:
Clinical Advice & FAQs
Billing Guidance
Is D57.04 a billable ICD-10 code?
Yes, D57.04 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report D57.04?
Clinical documentation must specify the nature of Hb-SS disease with dactylitis and any associated comorbidities for accurate reporting.
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