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ICD-10 Guide
ICD-10 CodesD76.3

D76.3

Billable

Other histiocytosis syndromes

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

Code Description

ICD-10 D76.3 is a billable code used to indicate a diagnosis of other histiocytosis syndromes.

Key Diagnostic Point:

Other histiocytosis syndromes encompass a diverse group of disorders characterized by the abnormal proliferation of histiocytes, which are immune cells that play a crucial role in the body's response to infection and inflammation. These syndromes can manifest with a variety of symptoms, including neutropenia, which is a decrease in the number of neutrophils, a type of white blood cell essential for fighting infections. Patients may also exhibit other white blood cell disorders, splenic disorders, and immunodeficiencies, leading to increased susceptibility to infections and other complications. The clinical presentation can vary widely, with some patients experiencing systemic symptoms such as fever, weight loss, and fatigue, while others may present with localized symptoms depending on the organs involved. Diagnosis often requires a combination of clinical evaluation, laboratory tests, and imaging studies to assess the extent of histiocytic infiltration and its impact on hematologic function. Treatment may involve immunosuppressive therapies, chemotherapy, or targeted therapies, depending on the severity and specific characteristics of the syndrome.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations and symptoms
  • Overlap with other hematologic disorders
  • Need for comprehensive documentation of symptoms and treatments
  • Potential for misdiagnosis with similar conditions

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the type of histiocytosis
  • Misalignment between diagnosis and treatment codes
  • Inconsistent use of laboratory results in documentation

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Detailed clinical notes including laboratory results, imaging studies, and treatment plans.

Common Clinical Scenarios

Patients presenting with unexplained neutropenia or splenomegaly.

Billing Considerations

Ensure that all relevant laboratory tests are documented to support the diagnosis.

Immunology

Documentation Requirements

Comprehensive immunological assessments and patient history.

Common Clinical Scenarios

Patients with recurrent infections and suspected immunodeficiencies.

Billing Considerations

Document any immunological evaluations performed to support the diagnosis.

Coding Guidelines

Inclusion Criteria

Use D76.3 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant laboratory findings and treatment plans

Exclusion Criteria

Do NOT use D76.3 When
  • Exclude conditions that are specifically listed under other codes

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

Used to evaluate neutropenia in patients suspected of having histiocytosis.

Documentation Requirements

Document the reason for the CBC and any relevant findings.

Specialty Considerations

Hematology specialists should ensure that all lab results are clearly linked to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of histiocytosis syndromes, improving the accuracy of diagnoses and treatment tracking. D76.3 provides a broader category for less common histiocytosis syndromes that may not have been adequately captured in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of histiocytosis syndromes, improving the accuracy of diagnoses and treatment tracking. D76.3 provides a broader category for less common histiocytosis syndromes that may not have been adequately captured in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of histiocytosis syndromes, improving the accuracy of diagnoses and treatment tracking. D76.3 provides a broader category for less common histiocytosis syndromes that may not have been adequately captured in ICD-9.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Histiocytosis

Coding & Billing References

  • •
    American Academy of Pediatrics - Histiocytosis

Frequently Asked Questions

What are the common symptoms associated with D76.3?

Common symptoms include recurrent infections, splenomegaly, neutropenia, and systemic symptoms such as fever and weight loss.

How is D76.3 diagnosed?

Diagnosis typically involves clinical evaluation, laboratory tests, imaging studies, and histological confirmation through biopsy.