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ICD-10 Guide
ICD-10 CodesD89.44

D89.44

Billable

Hereditary alpha tryptasemia

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

Code Description

ICD-10 D89.44 is a billable code used to indicate a diagnosis of hereditary alpha tryptasemia.

Key Diagnostic Point:

Hereditary alpha tryptasemia is a genetic condition characterized by elevated levels of the enzyme alpha tryptase in the blood, which is produced by mast cells. This condition is often associated with mast cell activation disorders and can lead to various hematologic complications. Patients may experience symptoms such as recurrent anaphylaxis, skin rashes, gastrointestinal issues, and respiratory problems due to mast cell degranulation. The condition is inherited in an autosomal dominant pattern, meaning that only one copy of the mutated gene is necessary for the manifestation of the disorder. Diagnosis typically involves measuring serum tryptase levels, genetic testing for mutations in the TPSAB1 gene, and a thorough clinical evaluation of symptoms. Management may include antihistamines, mast cell stabilizers, and avoidance of known triggers. Understanding hereditary alpha tryptasemia is crucial for healthcare providers, as it can significantly impact the patient's quality of life and requires careful monitoring and treatment strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of genetic inheritance patterns.
  • Involves knowledge of mast cell disorders and their symptoms.
  • Diagnosis may require specialized testing (e.g., serum tryptase levels).
  • Differentiation from other hematologic conditions is necessary.

Audit Risk Factors

  • Inadequate documentation of genetic testing results.
  • Failure to document clinical symptoms associated with the condition.
  • Misclassification of hereditary alpha tryptasemia with other mast cell disorders.
  • Lack of clear linkage between diagnosis and treatment provided.

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed clinical history, laboratory results, and genetic testing documentation.

Common Clinical Scenarios

Patients presenting with unexplained anaphylaxis or recurrent mast cell activation symptoms.

Billing Considerations

Ensure that all symptoms and laboratory findings are clearly documented to support the diagnosis.

Allergy and Immunology

Documentation Requirements

Comprehensive allergy history, mast cell activation symptom tracking, and response to treatments.

Common Clinical Scenarios

Patients with a history of allergic reactions and elevated tryptase levels.

Billing Considerations

Documenting triggers and response to antihistamines or other treatments is crucial.

Coding Guidelines

Inclusion Criteria

Use D89.44 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's hereditary nature and associated symptoms
  • Include relevant laboratory findings and genetic testing results to support the diagnosis

Exclusion Criteria

Do NOT use D89.44 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

Used to evaluate overall blood health and detect abnormalities.

Documentation Requirements

Document the reason for the CBC and any abnormal findings.

Specialty Considerations

Hematology specialists should ensure all relevant lab results are included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hereditary alpha tryptasemia, improving the accuracy of data collection and reimbursement processes. This specificity aids in better understanding and management of the condition.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hereditary alpha tryptasemia, improving the accuracy of data collection and reimbursement processes. This specificity aids in better understanding and management of the condition.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better understanding and management of the condition.

Resources

Clinical References

  • •
    American Academy of Allergy, Asthma & Immunology

Coding & Billing References

  • •
    American Academy of Allergy, Asthma & Immunology

Frequently Asked Questions

What is hereditary alpha tryptasemia?

Hereditary alpha tryptasemia is a genetic condition characterized by elevated levels of alpha tryptase in the blood, leading to symptoms associated with mast cell activation.

How is hereditary alpha tryptasemia diagnosed?

Diagnosis involves measuring serum tryptase levels and genetic testing for mutations in the TPSAB1 gene, along with a clinical evaluation of symptoms.