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v1.0.0
ICD-10 Guide
ICD-10 CodesD82.4

D82.4

Billable

Hyperimmunoglobulin E [IgE] syndrome

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

Code Description

ICD-10 D82.4 is a billable code used to indicate a diagnosis of hyperimmunoglobulin e [ige] syndrome.

Key Diagnostic Point:

Hyperimmunoglobulin E syndrome (HIES) is a rare immunodeficiency disorder characterized by elevated levels of immunoglobulin E (IgE) in the blood, recurrent infections, and various allergic manifestations. Patients with HIES often experience recurrent skin infections, pneumonia, and other respiratory infections due to their impaired immune response. The condition can be associated with eczema, food allergies, and elevated eosinophil counts. HIES can be caused by genetic mutations affecting the immune system, particularly in the STAT3 gene, which plays a crucial role in immune regulation. Diagnosis is typically made through clinical evaluation, family history, and laboratory tests showing elevated IgE levels. Management focuses on treating infections, managing allergic symptoms, and monitoring for complications such as lung disease or autoimmune disorders. Patients may require immunoglobulin replacement therapy and antibiotics for recurrent infections. The prognosis varies, with some individuals leading relatively normal lives with appropriate management, while others may experience significant morbidity.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of immunodeficiency disorders
  • Differentiation from other immunological conditions
  • Need for comprehensive patient history and lab results
  • Potential for co-morbid conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of recurrent infections
  • Failure to document elevated IgE levels
  • Misclassification of related allergic conditions
  • Lack of genetic testing results in the medical record

Specialty Focus

Medical Specialties

Immunology

Documentation Requirements

Detailed immunological assessments, including IgE levels and infection history.

Common Clinical Scenarios

Patients presenting with recurrent infections, eczema, and elevated IgE levels.

Billing Considerations

Ensure comprehensive documentation of all allergic manifestations and infections.

Pediatrics

Documentation Requirements

Growth and development assessments, family history of allergies or immunodeficiencies.

Common Clinical Scenarios

Children with recurrent respiratory infections and skin conditions.

Billing Considerations

Monitor for developmental delays or complications related to infections.

Coding Guidelines

Inclusion Criteria

Use D82.4 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition's manifestations and any related complications
  • Include relevant lab results and clinical findings to support the diagnosis

Exclusion Criteria

Do NOT use D82.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

36415CPT Code

Collection of venous blood by venipuncture

Clinical Scenario

Used for obtaining blood samples to measure IgE levels.

Documentation Requirements

Document the reason for blood draw and any relevant clinical history.

Specialty Considerations

Ensure proper labeling and handling of samples for accurate testing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hyperimmunoglobulin E syndrome, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of immunodeficiency disorders in clinical practice.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hyperimmunoglobulin E syndrome, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of immunodeficiency disorders in clinical practice.

Reimbursement & Billing Impact

reimbursement processes. It has also facilitated better tracking of immunodeficiency disorders in clinical practice.

Resources

Clinical References

  • •
    Hyper-IgE Syndrome Foundation

Coding & Billing References

  • •
    Hyper-IgE Syndrome Foundation

Frequently Asked Questions

What are the common symptoms of Hyperimmunoglobulin E syndrome?

Common symptoms include recurrent skin infections, pneumonia, eczema, and elevated IgE levels. Patients may also experience food allergies and other allergic conditions.