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ICD-10 Guide
ICD-10 CodesD82.2

D82.2

Billable

Immunodeficiency with short-limbed stature

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

Code Description

ICD-10 D82.2 is a billable code used to indicate a diagnosis of immunodeficiency with short-limbed stature.

Key Diagnostic Point:

Immunodeficiency with short-limbed stature is a rare genetic disorder characterized by a combination of immune system dysfunction and skeletal abnormalities, particularly affecting the limbs. Patients with this condition often exhibit a deficiency in specific immune responses, leading to increased susceptibility to infections. The short-limbed stature is typically due to skeletal dysplasia, which can manifest as disproportionate limb length relative to the trunk. This condition may be associated with various hematologic abnormalities, including altered blood cell counts and immune cell function. Diagnosis is often made through clinical evaluation, genetic testing, and immunological assessments. Management focuses on preventing infections, monitoring growth and development, and addressing any hematologic complications that may arise. Regular follow-up with a multidisciplinary team, including immunologists and geneticists, is essential for optimal patient care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of both immunodeficiency and skeletal dysplasia.
  • Potential for overlapping symptoms with other immunodeficiency disorders.
  • Need for precise documentation of growth parameters and immune function.
  • Involves multidisciplinary care, complicating documentation.

Audit Risk Factors

  • Inadequate documentation of immune function tests.
  • Failure to document growth parameters accurately.
  • Misclassification of the condition due to overlapping symptoms.
  • Lack of genetic testing results in the medical record.

Specialty Focus

Medical Specialties

Immunology

Documentation Requirements

Detailed immunological assessments, including specific tests performed and results.

Common Clinical Scenarios

Patients presenting with recurrent infections or unusual infections.

Billing Considerations

Ensure comprehensive documentation of immune status and any interventions.

Genetics

Documentation Requirements

Genetic testing results and family history of similar conditions.

Common Clinical Scenarios

Evaluation of patients with short stature and immune issues.

Billing Considerations

Document the genetic basis of the condition to support coding.

Coding Guidelines

Inclusion Criteria

Use D82.2 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's clinical features
  • Include any relevant laboratory results and genetic testing outcomes
  • The code D82
  • 2 should be used when the patient has both immunodeficiency and short
  • limbed stature

Exclusion Criteria

Do NOT use D82.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with differential.

Clinical Scenario

Used to assess hematologic status in patients with D82.2.

Documentation Requirements

Document the reason for the CBC and any abnormal findings.

Specialty Considerations

Immunologists should ensure that CBC results are interpreted in the context of the patient's immunodeficiency.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of immunodeficiency disorders, including the ability to capture the unique aspects of D82.2, which combines both immune dysfunction and skeletal abnormalities.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of immunodeficiency disorders, including the ability to capture the unique aspects of D82.2, which combines both immune dysfunction and skeletal abnormalities.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of immunodeficiency disorders, including the ability to capture the unique aspects of D82.2, which combines both immune dysfunction and skeletal abnormalities.

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 coding D82.2 accurately?

Accurate coding of D82.2 is crucial for proper patient management, reimbursement, and ensuring that the patient's unique clinical needs are met. It also aids in research and understanding of this rare condition.