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ICD-10 Guide
ICD-10 CodesD72.19

D72.19

Billable

Other eosinophilia

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D72.19 is a billable code used to indicate a diagnosis of other eosinophilia.

Key Diagnostic Point:

Eosinophilia is characterized by an elevated eosinophil count in the blood, which can be indicative of various underlying conditions. Other eosinophilia (D72.19) refers to cases where the cause of eosinophilia is not classified under more specific categories. Eosinophils are a type of white blood cell that play a crucial role in the body's immune response, particularly in combating parasitic infections and mediating allergic reactions. The condition can arise from a variety of factors, including allergic diseases, infections, autoimmune disorders, and certain malignancies. In cases of other eosinophilia, it is essential to conduct a thorough clinical evaluation to identify potential underlying causes, which may include hematological disorders such as neutropenia, white blood cell disorders, and splenic dysfunction. Additionally, immunodeficiencies can also contribute to eosinophilia, as the immune system's dysregulation may lead to abnormal eosinophil proliferation. Accurate diagnosis and coding require comprehensive documentation of the patient's clinical history, laboratory findings, and any associated symptoms to ensure appropriate management and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes
  • Need for comprehensive clinical documentation
  • Differentiation from other eosinophilia-related codes
  • Potential overlap with other hematological disorders

Audit Risk Factors

  • Inadequate documentation of underlying conditions
  • Failure to specify the cause of eosinophilia
  • Misclassification of eosinophilia type
  • Lack of supporting lab results

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed blood work results, patient history, and any relevant imaging studies.

Common Clinical Scenarios

Patients presenting with unexplained eosinophilia, neutropenia, or other white blood cell disorders.

Billing Considerations

Ensure that all laboratory findings are clearly documented to support the diagnosis of eosinophilia.

Allergy and Immunology

Documentation Requirements

Comprehensive allergy testing results, patient history of allergic reactions, and treatment responses.

Common Clinical Scenarios

Patients with allergic conditions presenting with elevated eosinophil counts.

Billing Considerations

Document any correlation between eosinophilia and allergic symptoms or treatments.

Coding Guidelines

Inclusion Criteria

Use D72.19 When
  • According to ICD
  • 10 coding guidelines, D72
  • 19 should be used when eosinophilia is present without a more specific diagnosis
  • Coders must ensure that the documentation supports the diagnosis and that other potential causes are ruled out

Exclusion Criteria

Do NOT use D72.19 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

Used to evaluate eosinophil levels in patients suspected of having eosinophilia.

Documentation Requirements

Document the reason for the CBC and any relevant clinical findings.

Specialty Considerations

Hematology specialists should ensure that differential counts are clearly reported.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of eosinophilia, enabling better tracking of the condition and its underlying causes. D72.19 provides a distinct code for cases that do not fit into more defined categories, improving the granularity of data collection.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of eosinophilia, enabling better tracking of the condition and its underlying causes. D72.19 provides a distinct code for cases that do not fit into more defined categories, improving the granularity of data collection.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of eosinophilia, enabling better tracking of the condition and its underlying causes. D72.19 provides a distinct code for cases that do not fit into more defined categories, improving the granularity of data collection.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of eosinophilia?

Eosinophilia can indicate various underlying conditions, including allergies, infections, and hematological disorders. It is essential to identify the cause to provide appropriate treatment.