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v1.0.0
ICD-10 Guide
ICD-10 CodesD84.822

D84.822

Billable

Immunodeficiency due to external causes

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

Code Description

ICD-10 D84.822 is a billable code used to indicate a diagnosis of immunodeficiency due to external causes.

Key Diagnostic Point:

Immunodeficiency due to external causes refers to a condition where the immune system's ability to fight infections is compromised due to factors external to the body. This can include environmental factors, such as exposure to certain chemicals, radiation, or infections that impair immune function. In the context of blood and blood-forming organ disorders, this immunodeficiency can lead to increased susceptibility to infections, hematologic malignancies, and complications such as anemia or thrombocytopenia. Patients may present with recurrent infections, prolonged recovery from illnesses, or unusual infections that are not typically seen in immunocompetent individuals. The management of these patients often requires a multidisciplinary approach, including hematologists, infectious disease specialists, and primary care providers, to address both the underlying cause of the immunodeficiency and the resultant complications. Accurate coding is essential for appropriate treatment planning and reimbursement, as well as for tracking epidemiological trends related to external causes of immunodeficiency.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of external causes leading to immunodeficiency
  • Need for detailed patient history to determine causation
  • Potential overlap with other immunodeficiency codes
  • Documentation of specific external factors is crucial

Audit Risk Factors

  • Inadequate documentation of external causes
  • Misclassification of immunodeficiency type
  • Failure to link immunodeficiency to specific clinical scenarios
  • Lack of follow-up documentation on patient outcomes

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed patient history, laboratory results, and treatment plans must be documented to support the diagnosis.

Common Clinical Scenarios

Patients with hematologic malignancies who develop immunodeficiency due to chemotherapy or radiation therapy.

Billing Considerations

Consideration of the patient's complete medical history and any concurrent conditions that may affect immune function.

Infectious Disease

Documentation Requirements

Documentation of recurrent infections, specific pathogens involved, and any relevant laboratory findings.

Common Clinical Scenarios

Patients presenting with opportunistic infections due to immunodeficiency from external causes.

Billing Considerations

Need for clear linkage between the external cause and the patient's immunocompromised state.

Coding Guidelines

Inclusion Criteria

Use D84.822 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the external cause is well
  • documented
  • This code should be used when the immunodeficiency is clearly linked to an external factor, and not when it is due to an underlying disease

Exclusion Criteria

Do NOT use D84.822 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

36415CPT Code

Collection of venous blood by venipuncture

Clinical Scenario

Used for laboratory tests to assess immune function in patients with documented immunodeficiency.

Documentation Requirements

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

Specialty Considerations

Hematologists may require additional tests to evaluate specific immune parameters.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of immunodeficiencies, including those due to external causes, improving the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of immunodeficiencies, including those due to external causes, improving the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of immunodeficiencies, including those due to external causes, improving the accuracy of patient records and treatment plans.

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 are the common external causes of immunodeficiency?

Common external causes include exposure to certain medications, chemotherapy, radiation, toxic chemicals, and infections that impair immune function.