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v1.0.0
ICD-10 Guide
ICD-10 CodesD82.1

D82.1

Billable

Di George's syndrome

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

Code Description

ICD-10 D82.1 is a billable code used to indicate a diagnosis of di george's syndrome.

Key Diagnostic Point:

Di George's syndrome, also known as 22q11.2 deletion syndrome, is a genetic disorder caused by a deletion of a small segment of chromosome 22. This condition is characterized by a range of developmental issues, including congenital heart defects, immune system deficiencies, and hypoparathyroidism. Patients often present with a variety of hematologic conditions due to the immune dysfunction associated with the syndrome. The immune deficiency can lead to increased susceptibility to infections, which may complicate the management of patients with Di George's syndrome. Additionally, patients may experience hematologic abnormalities such as thrombocytopenia or anemia, which can further complicate their clinical picture. Diagnosis is typically made through clinical evaluation and genetic testing, and management often involves a multidisciplinary approach to address the various complications associated with the syndrome, including immunologic support and surgical interventions for cardiac defects.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation among patients
  • Need for genetic testing documentation
  • Potential for multiple co-morbid conditions
  • Complexity of associated hematologic disorders

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to document associated hematologic conditions
  • Misclassification of related syndromes
  • Lack of clarity in the clinical narrative

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed family history, growth and development assessments, and immunization records.

Common Clinical Scenarios

Management of congenital heart defects, recurrent infections, and developmental delays.

Billing Considerations

Documentation must reflect the multidisciplinary approach and any referrals to specialists.

Genetics

Documentation Requirements

Genetic testing results, family pedigree, and detailed clinical findings.

Common Clinical Scenarios

Counseling families about the genetic implications and management of Di George's syndrome.

Billing Considerations

Accurate coding requires clear documentation of the genetic basis of the condition.

Coding Guidelines

Inclusion Criteria

Use D82.1 When
  • According to ICD
  • 10 guidelines, D82
  • 1 should be used when the patient has a confirmed diagnosis of Di George's syndrome, with documentation supporting the clinical features and any associated conditions

Exclusion Criteria

Do NOT use D82.1 When
  • Exclusion criteria include other genetic syndromes that may present similarly

Related ICD-10 Codes

Related CPT Codes

81229CPT Code

Chromosomal microarray analysis

Clinical Scenario

Used for confirming the diagnosis of Di George's syndrome through genetic testing.

Documentation Requirements

Documentation of clinical indications for testing and results.

Specialty Considerations

Genetic counseling may be necessary for families.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Di George's syndrome, improving the ability to capture the complexity of the condition and its associated complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Di George's syndrome, improving the ability to capture the complexity of the condition and its associated complications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of Di George's syndrome, improving the ability to capture the complexity of the condition and its associated complications.

Resources

Clinical References

  • •
    National Organization for Rare Disorders (NORD)

Coding & Billing References

  • •
    National Organization for Rare Disorders (NORD)

Frequently Asked Questions

What are the common complications associated with Di George's syndrome?

Common complications include congenital heart defects, immune deficiencies leading to recurrent infections, hypoparathyroidism causing hypocalcemia, and developmental delays.