ICD-10 Code D57.814 – Other sickle-cell disorders with dactylitis (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code D57.814 – Other sickle-cell disorders with dactylitis
What it is
This code identifies a sickle-cell disorder not classified elsewhere when dactylitis is present. Dactylitis means painful swelling of the hands or feet, often from vaso-occlusion.
Clinical signs
Look for acute pain, swelling, and tenderness of the hands or feet, especially in children with sickle-cell disease. Clinical features vary; refer to documentation.
When to use this code
Use D57.814 when the record documents an other specified sickle-cell disorder and dactylitis is part of the diagnosis. You should code from provider documentation, not from symptoms alone. If the note only says hand-foot pain or swelling without sickle-cell disease, check documentation.
Do not use for
Do not use this code for sickle-cell crises without dactylitis, or for dactylitis from another cause. If the chart does not support a sickle-cell disorder, select a different diagnosis.
Coding tip
Confirm both elements in the note: the sickle-cell disorder and the presence of dactylitis.