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v1.0.0
ICD-10 Guide
ICD-10 CodesD84.9

D84.9

Billable

Immunodeficiency, unspecified

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

Code Description

ICD-10 D84.9 is a billable code used to indicate a diagnosis of immunodeficiency, unspecified.

Key Diagnostic Point:

Immunodeficiency, unspecified (D84.9) refers to a condition characterized by an impaired immune response, which can lead to increased susceptibility to infections and other diseases. This code is used when the specific type of immunodeficiency is not clearly defined or documented. Immunodeficiencies can be primary (genetic) or secondary (acquired due to factors such as infections, malnutrition, or medical treatments). Patients may present with recurrent infections, unusual infections, or complications related to hematologic conditions, such as anemia or thrombocytopenia. The diagnosis often requires a thorough clinical evaluation, including a detailed patient history, physical examination, and laboratory tests to assess immune function. The lack of specificity in this code can complicate treatment plans and management strategies, as it does not provide insight into the underlying cause of the immunodeficiency. Therefore, accurate documentation is crucial for appropriate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Lack of specificity in the diagnosis
  • Need for comprehensive patient history and lab results
  • Potential overlap with other immunodeficiency codes
  • Variability in clinical presentation

Audit Risk Factors

  • Insufficient documentation of immunodeficiency type
  • Inconsistent clinical findings
  • Lack of follow-up on recurrent infections
  • Failure to document underlying conditions

Specialty Focus

Medical Specialties

Immunology

Documentation Requirements

Detailed immunological assessments, including lab results and patient history.

Common Clinical Scenarios

Patients presenting with recurrent infections, autoimmune disorders, or unexplained hematologic abnormalities.

Billing Considerations

Ensure that all relevant tests and evaluations are documented to support the diagnosis.

Hematology

Documentation Requirements

Complete blood counts, bone marrow biopsies, and other hematologic evaluations.

Common Clinical Scenarios

Patients with anemia, thrombocytopenia, or leukopenia associated with immunodeficiency.

Billing Considerations

Document any hematologic conditions that may contribute to or complicate the immunodeficiency.

Coding Guidelines

Inclusion Criteria

Use D84.9 When
  • According to ICD
  • 10 coding guidelines, D84
  • 9 should be used when the specific type of immunodeficiency is not documented
  • Coders should ensure that the documentation supports the diagnosis and consider any underlying conditions that may be contributing to the immunodeficiency

Exclusion Criteria

Do NOT use D84.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count with differential

Clinical Scenario

Used to evaluate hematologic conditions in patients with suspected immunodeficiency.

Documentation Requirements

Document the reason for the test and any relevant clinical findings.

Specialty Considerations

Hematologists should ensure that all relevant lab results are included in the patient's record.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of immunodeficiencies, but D84.9 remains a catch-all for unspecified cases, which can complicate clinical management and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of immunodeficiencies, but D84.9 remains a catch-all for unspecified cases, which can complicate clinical management and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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

When should I use D84.9?

D84.9 should be used when the specific type of immunodeficiency is not documented, but there is evidence of an impaired immune response.