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v1.0.0
ICD-10 Guide
ICD-10 CodesD82.0

D82.0

Billable

Wiskott-Aldrich syndrome

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

Code Description

ICD-10 D82.0 is a billable code used to indicate a diagnosis of wiskott-aldrich syndrome.

Key Diagnostic Point:

Wiskott-Aldrich syndrome (WAS) is a rare X-linked recessive immunodeficiency disorder characterized by the triad of eczema, recurrent infections, and thrombocytopenia (low platelet count). This condition arises due to mutations in the WAS gene, which plays a crucial role in the function of immune cells and platelets. Patients with WAS often experience a range of hematologic complications, including increased susceptibility to infections due to impaired antibody production and T-cell function. The thrombocytopenia can lead to bleeding disorders, making management of minor injuries challenging. Additionally, individuals with WAS are at an elevated risk for autoimmune diseases and malignancies, particularly lymphomas. Diagnosis typically involves clinical evaluation, family history, and genetic testing to confirm mutations in the WAS gene. Management strategies focus on supportive care, including immunoglobulin replacement therapy, platelet transfusions, and in severe cases, hematopoietic stem cell transplantation. Early diagnosis and intervention are critical to improving outcomes and quality of life for affected individuals.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires understanding of genetic implications and inheritance patterns.
  • Involves multiple specialties for comprehensive management.
  • Potential for co-morbid conditions complicating coding.
  • Documentation must clearly reflect the triad of symptoms.

Audit Risk Factors

  • Inadequate documentation of the triad of symptoms.
  • Failure to document genetic testing results.
  • Misclassification of severity or related complications.
  • Inconsistent coding across different encounters.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed history of symptoms, family history of WAS, and results of genetic testing.

Common Clinical Scenarios

Management of recurrent infections, eczema treatment, and monitoring of platelet levels.

Billing Considerations

Documentation must reflect the ongoing management of complications and response to therapies.

Hematology

Documentation Requirements

Comprehensive blood work results, including platelet counts and any transfusion records.

Common Clinical Scenarios

Evaluation of bleeding episodes and management of thrombocytopenia.

Billing Considerations

Must document any co-existing hematologic disorders and their management.

Coding Guidelines

Inclusion Criteria

Use D82.0 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's manifestations
  • Include any relevant co
  • morbidities and complications in coding

Exclusion Criteria

Do NOT use D82.0 When
  • Exclude conditions that do not meet the criteria for WAS

Related ICD-10 Codes

Related CPT Codes

36415CPT Code

Blood transfusion, per unit

Clinical Scenario

Used when a patient with WAS requires platelet transfusion due to severe thrombocytopenia.

Documentation Requirements

Document the indication for transfusion and the patient's platelet count.

Specialty Considerations

Hematology specialists should ensure accurate coding of the transfusion procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Wiskott-Aldrich syndrome, improving the ability to capture the complexity of the condition and its management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Wiskott-Aldrich syndrome, improving the ability to capture the complexity of the condition and its management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of Wiskott-Aldrich syndrome, improving the ability to capture the complexity of the condition and its management.

Resources

Clinical References

  • •
    Wiskott-Aldrich Syndrome Foundation

Coding & Billing References

  • •
    Wiskott-Aldrich Syndrome Foundation

Frequently Asked Questions

What are the key symptoms of Wiskott-Aldrich syndrome?

The key symptoms include eczema, recurrent infections, and thrombocytopenia. These symptoms typically manifest in early childhood.