Sickle-cell disease without crisis

This code signifies sickle-cell anemia, a chronic, inherited blood disorder characterized by abnormally shaped red blood cells, in a patient who is not currently experiencing an acute painful crisis or other acute complication. It represents the baseline, stable state of the disease.

Use this code for patients with a confirmed diagnosis of sickle-cell anemia who are being managed for their chronic condition and are not presenting with acute symptoms of a crisis. Documentation should clearly state "sickle-cell disease without crisis," "stable sickle-cell anemia," or similar phrasing indicating the absence of an acute exacerbation.

• Do not use this code if the patient is experiencing any acute sickle-cell crisis (e.g., painful crisis, splenic sequestration, acute chest syndrome); instead, use the appropriate D57.0x or D57.2x code.
• This code is often used as a secondary diagnosis when the patient is being treated for complications or conditions related to their underlying sickle-cell disease, but not the crisis itself.
• Ensure the medical record explicitly states the absence of a crisis to support the use of this "without crisis" code.