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v1.0.0
ICD-10 Guide
ICD-10 CodesD89.89

D89.89

Billable

Other specified disorders involving the immune mechanism, not elsewhere classified

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

Code Description

ICD-10 D89.89 is a billable code used to indicate a diagnosis of other specified disorders involving the immune mechanism, not elsewhere classified.

Key Diagnostic Point:

D89.89 encompasses a variety of disorders that involve the immune mechanism but do not fit neatly into other specified categories. These disorders can manifest in various ways, including hematologic conditions that may lead to abnormal blood cell production or function. Conditions such as autoimmune hemolytic anemia, where the immune system mistakenly attacks red blood cells, or immune thrombocytopenic purpura, characterized by low platelet counts due to immune-mediated destruction, may fall under this code. The complexity arises from the diverse nature of these disorders, which can affect multiple organ systems and present with overlapping symptoms. Accurate diagnosis often requires a thorough clinical evaluation, including laboratory tests to assess immune function and blood parameters. As these conditions can lead to significant morbidity, understanding the underlying immune mechanisms is crucial for effective management and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions that can be coded under this category
  • Need for comprehensive clinical documentation to support the diagnosis
  • Potential overlap with other immune-related codes
  • Variability in clinical presentation and laboratory findings

Audit Risk Factors

  • Insufficient documentation to support the diagnosis
  • Inconsistent use of terminology in clinical notes
  • Failure to link the diagnosis to treatment provided
  • Lack of clarity on the specific immune mechanism involved

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed lab results, patient history, and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with unexplained anemia, thrombocytopenia, or leukopenia.

Billing Considerations

Hematologists should provide clear descriptions of the immune mechanisms involved in the patient's condition.

Immunology

Documentation Requirements

Comprehensive immune profiling and history of autoimmune disorders.

Common Clinical Scenarios

Patients with recurrent infections or autoimmune symptoms without a clear diagnosis.

Billing Considerations

Immunologists must document the rationale for the diagnosis and any differential diagnoses considered.

Coding Guidelines

Inclusion Criteria

Use D89.89 When
  • According to ICD
  • 10 coding guidelines, D89
  • 89 should be used when the specific disorder does not have a more precise code available
  • Coders must ensure that the documentation clearly supports the use of this code and that it is not used as a catch
  • all for unspecified conditions

Exclusion Criteria

Do NOT use D89.89 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 blood cell counts in patients suspected of having immune-mediated disorders.

Documentation Requirements

Must include indication for the test and relevant clinical findings.

Specialty Considerations

Hematologists should ensure that the CBC results are interpreted in the context of the patient's overall clinical picture.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of immune-related disorders, including D89.89. This specificity helps in better tracking of these conditions and improves the accuracy of healthcare data.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of immune-related disorders, including D89.89. This specificity helps in better tracking of these conditions and improves the accuracy of healthcare data.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of immune-related disorders, including D89.89. This specificity helps in better tracking of these conditions and improves the accuracy of healthcare data.

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 types of conditions can be coded under D89.89?

D89.89 can be used for various immune-mediated disorders that do not have a more specific code, including certain hematologic conditions like immune thrombocytopenic purpura and autoimmune hemolytic anemia.