ICD-10 Code D57.412 – Sickle-cell thalassemia, unspecified, with splenic sequestration (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Sickle-cell thalassemia, unspecified, with splenic sequestration is D57.412.
2026 ICD-10-CM Diagnosis Code D57.412 – Sickle-cell thalassemia, unspecified, with splenic sequestration

What it is

This code identifies sickle-cell thalassemia, unspecified type, when the patient also has splenic sequestration. It signals an acute complication in which the spleen traps blood cells and enlarges.

Clinical signs

Typical findings include sudden splenic enlargement, abdominal pain, pallor, and worsening anemia. Clinical features vary; refer to documentation for the confirmed sickle-cell thalassemia type and evidence of sequestration.

When to use this code

Use this code when the record documents sickle-cell thalassemia and splenic sequestration together. It is appropriate for encounters focused on the acute sequestration episode, including emergency or inpatient care. You should confirm that the provider links the complication to the hemoglobinopathy.

Do not use for

Do not use it for sickle-cell disease without thalassemia, or for splenomegaly without sequestration. Check documentation if the thalassemia type or the acute splenic complication is not clearly stated.

Coding tip

Assign the code only when both the underlying sickle-cell thalassemia and splenic sequestration are documented in the same encounter.

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