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v1.0.0
ICD-10 Guide
ICD-10 CodesD81.89

D81.89

Billable

Other combined immunodeficiencies

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

Code Description

ICD-10 D81.89 is a billable code used to indicate a diagnosis of other combined immunodeficiencies.

Key Diagnostic Point:

Combined immunodeficiencies are a group of disorders characterized by the impaired function of both humoral and cell-mediated immunity. These conditions can lead to increased susceptibility to infections, autoimmune diseases, and malignancies. The term 'other combined immunodeficiencies' encompasses various rare genetic disorders that do not fall under the more commonly recognized categories such as Severe Combined Immunodeficiency (SCID) or X-linked Agammaglobulinemia. Patients may present with recurrent infections, failure to thrive, and other systemic complications. Diagnosis typically involves immunological testing, genetic analysis, and clinical evaluation. Management may include immunoglobulin replacement therapy, prophylactic antibiotics, and in some cases, hematopoietic stem cell transplantation. The complexity of these conditions arises from their heterogeneous nature, requiring a multidisciplinary approach for effective treatment and management.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variety of underlying genetic causes
  • Need for comprehensive immunological evaluation
  • Potential for overlapping symptoms with other disorders
  • Requirement for multidisciplinary management

Audit Risk Factors

  • Inadequate documentation of immunological testing
  • Failure to specify the underlying genetic cause
  • Misclassification of the condition
  • Lack of detailed treatment plans

Specialty Focus

Medical Specialties

Immunology

Documentation Requirements

Detailed immunological assessment results, genetic testing outcomes, and treatment plans.

Common Clinical Scenarios

Patients presenting with recurrent infections, failure to thrive, or autoimmune manifestations.

Billing Considerations

Ensure comprehensive documentation of all immunological evaluations and treatments to support the diagnosis.

Hematology

Documentation Requirements

Complete blood counts, bone marrow biopsy results, and any hematologic evaluations.

Common Clinical Scenarios

Patients with hematologic abnormalities associated with immunodeficiencies.

Billing Considerations

Document any co-existing hematologic conditions that may complicate the immunodeficiency.

Coding Guidelines

Inclusion Criteria

Use D81.89 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the patient's condition, including any specific genetic mutations or associated complications
  • Include relevant clinical findings and treatment plans to support the diagnosis

Exclusion Criteria

Do NOT use D81.89 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

36415CPT Code

Collection of venous blood by venipuncture

Clinical Scenario

Used for obtaining blood samples for immunological testing.

Documentation Requirements

Document the reason for blood collection and any relevant clinical history.

Specialty Considerations

Ensure that the specialty performing the procedure is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of immunodeficiencies, improving the ability to capture the complexity of these conditions. D81.89 provides a more nuanced classification than previous ICD-9 codes, facilitating better tracking and management of patients with combined immunodeficiencies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of immunodeficiencies, improving the ability to capture the complexity of these conditions. D81.89 provides a more nuanced classification than previous ICD-9 codes, facilitating better tracking and management of patients with combined immunodeficiencies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of immunodeficiencies, improving the ability to capture the complexity of these conditions. D81.89 provides a more nuanced classification than previous ICD-9 codes, facilitating better tracking and management of patients with combined immunodeficiencies.

Resources

Clinical References

  • •
    American Academy of Allergy, Asthma & Immunology

Coding & Billing References

  • •
    American Academy of Allergy, Asthma & Immunology

Frequently Asked Questions

What are the common symptoms of combined immunodeficiencies?

Common symptoms include recurrent infections, failure to thrive, autoimmune disorders, and increased susceptibility to certain cancers. Symptoms can vary widely depending on the specific type of immunodeficiency.