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ICD-10 Guide
ICD-10 CodesD82.3

D82.3

Billable

Immunodeficiency following hereditary defective response to Epstein-Barr virus

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

Code Description

ICD-10 D82.3 is a billable code used to indicate a diagnosis of immunodeficiency following hereditary defective response to epstein-barr virus.

Key Diagnostic Point:

D82.3 refers to a specific immunodeficiency condition resulting from a hereditary defect in the immune system's response to the Epstein-Barr virus (EBV). This condition is characterized by an inability to mount an adequate immune response to EBV, which can lead to recurrent infections, particularly with EBV-associated diseases such as infectious mononucleosis and certain lymphoproliferative disorders. Patients may present with symptoms such as fatigue, fever, lymphadenopathy, and splenomegaly. The defective immune response can also predispose individuals to other viral infections and complications, including the development of malignancies like lymphomas. Diagnosis typically involves a combination of clinical evaluation, serological testing for EBV antibodies, and possibly genetic testing to identify the underlying hereditary defect. Management may include supportive care, prophylactic antibiotics, and in some cases, immunoglobulin therapy. Understanding the nuances of this condition is crucial for accurate coding and appropriate patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of immunodeficiency disorders and their genetic basis.
  • Differentiation from other types of immunodeficiencies.
  • Need for comprehensive patient history and documentation of EBV-related complications.
  • Potential for overlapping symptoms with other hematologic conditions.

Audit Risk Factors

  • Inadequate documentation of the hereditary nature of the condition.
  • Failure to document recurrent infections or complications.
  • Misclassification of the condition as a general immunodeficiency.
  • Lack of supporting lab results for EBV response.

Specialty Focus

Medical Specialties

Immunology

Documentation Requirements

Detailed patient history, including family history of immunodeficiency, clinical symptoms, and laboratory results.

Common Clinical Scenarios

Patients presenting with recurrent infections, unexplained lymphadenopathy, or splenomegaly.

Billing Considerations

Documentation must clearly link symptoms to EBV response defects.

Hematology

Documentation Requirements

Complete blood counts, lymphocyte subsets, and any relevant genetic testing results.

Common Clinical Scenarios

Patients with lymphoproliferative disorders or unexplained cytopenias.

Billing Considerations

Careful differentiation from other hematologic malignancies is essential.

Coding Guidelines

Inclusion Criteria

Use D82.3 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant laboratory findings and patient history that confirm the hereditary nature of the immunodeficiency

Exclusion Criteria

Do NOT use D82.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

86790CPT Code

EBV antibody testing

Clinical Scenario

Used to confirm EBV infection in patients with suspected D82.3.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Immunologists should ensure comprehensive testing for EBV-related complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of hereditary immunodeficiencies, improving the accuracy of patient records and facilitating better management of these conditions.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of hereditary immunodeficiencies, improving the accuracy of patient records and facilitating better management of these conditions.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of hereditary immunodeficiencies, improving the accuracy of patient records and facilitating better management of these conditions.

Resources

Clinical References

  • •
    CDC - Epstein-Barr Virus

Coding & Billing References

  • •
    CDC - Epstein-Barr Virus

Frequently Asked Questions

What are the common symptoms associated with D82.3?

Common symptoms include recurrent infections, fatigue, lymphadenopathy, and splenomegaly, often linked to EBV.