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v1.0.0
ICD-10 Guide
ICD-10 CodesD82.9

D82.9

Billable

Immunodeficiency associated with major defect, unspecified

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

Code Description

ICD-10 D82.9 is a billable code used to indicate a diagnosis of immunodeficiency associated with major defect, unspecified.

Key Diagnostic Point:

D82.9 refers to a type of immunodeficiency characterized by a significant defect in the immune system, which is unspecified in nature. This condition can lead to increased susceptibility to infections, autoimmune disorders, and malignancies due to the body's inability to mount an adequate immune response. Patients may present with recurrent infections, failure to thrive in children, or unusual infections that are not typically seen in immunocompetent individuals. The underlying causes of this immunodeficiency can vary widely, including genetic defects, environmental factors, or secondary causes such as malignancies or chronic diseases. The diagnosis often requires a thorough clinical evaluation, including a detailed patient history, physical examination, and laboratory tests to assess immune function. Treatment may involve immunoglobulin replacement therapy, prophylactic antibiotics, or other immunomodulatory therapies, depending on the specific defect and clinical presentation. Accurate coding is essential for appropriate management and reimbursement, as well as for tracking epidemiological data related to immunodeficiencies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified nature of the defect complicates diagnosis.
  • Variety of potential underlying causes requires thorough documentation.
  • Differentiation from other immunodeficiencies can be challenging.
  • Need for comprehensive patient history and lab results.

Audit Risk Factors

  • Insufficient documentation of the immunodeficiency type.
  • Lack of supporting lab results for diagnosis.
  • Inconsistent coding with clinical findings.
  • Failure to document co-morbid conditions.

Specialty Focus

Medical Specialties

Immunology

Documentation Requirements

Detailed immunological assessment, including lab results and patient history.

Common Clinical Scenarios

Patients presenting with recurrent infections, autoimmune disorders, or failure to thrive.

Billing Considerations

Documentation must clearly outline the nature of the defect and any associated conditions.

Pediatrics

Documentation Requirements

Growth charts, vaccination history, and developmental milestones.

Common Clinical Scenarios

Infants or children with recurrent infections or failure to thrive.

Billing Considerations

Consideration of congenital vs. acquired immunodeficiencies in documentation.

Coding Guidelines

Inclusion Criteria

Use D82.9 When
  • According to ICD
  • CM guidelines, D82
  • 9 should be used when the specific type of immunodeficiency is not documented
  • Coders should ensure that the documentation supports the diagnosis and that any related conditions are also coded appropriately

Exclusion Criteria

Do NOT use D82.9 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.

Documentation Requirements

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

Specialty Considerations

Ensure that the specialty performing the test is noted.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of immunodeficiencies, improving the ability to track and manage these conditions. D82.9 provides a means to code unspecified defects, but it is essential for coders to strive for specificity when possible.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of immunodeficiencies, improving the ability to track and manage these conditions. D82.9 provides a means to code unspecified defects, but it is essential for coders to strive for specificity when possible.

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

What should I document to support the use of D82.9?

Document the patient's clinical history, presenting symptoms, laboratory findings, and any treatments provided. Ensure that the documentation clearly indicates the nature of the immunodeficiency and any related conditions.