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Coding Tips: New Codes for Sickle Cell Disease with Dactylitis
Coding Corner copy

New Codes for Sickle Cell Disease with Dactylitis

(Valid for October 1, 2023 discharges)

•  D57.04 Hb-SS disease with dactylitis
•  D57.214 Sickle-cell/Hb-C disease with dactylitis
•  D57.414 Sickle-cell thalassemia, unspecified, with dactylitis
•  D57.434 Sickle-cell thalassemia beta zero with dactylitis
•  D57.454 Sickle-cell thalassemia beta plus with dactylitis
•  D57.814 Other sickle-cell disorders with dactylitis

 What is Dactylitis?  Otherwise known as ‘hand-foot syndrome’.  Symptoms include: Bilateral exquisite pain and swelling of hands and/or feet in children.  Occurs between age 6 months and 3 years; it is not seen after age 5 years because hematopoiesis in the small bones of the hands and feet ceases at this age. Osteomyelitis is the major differential diagnosis.

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e4health is dedicated to elevating the business of healthcare. We are committed to offering support and the most current information and updates to collaborate with coding and CDI professionals to realize their fullest potential. We enthusiastically seek opportunities to develop ourselves and each other. We understand that knowledge is the key to success for our clients navigating the ever-changing health information management landscape.


The information and opinions presented here are based on the experience, training, and interpretation of e4health. Although the information has been researched and reviewed for accuracy, e4health does not accept any responsibility or liability regarding errors, omissions, misuse, or misinterpretation. This information is intended as a guide; it should not be considered a legal/consulting opinion or advice.