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v1.0.0
ICD-10 Guide
ICD-10 CodesD83.0

D83.0

Billable

Common variable immunodeficiency with predominant abnormalities of B-cell numbers and function

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

Code Description

ICD-10 D83.0 is a billable code used to indicate a diagnosis of common variable immunodeficiency with predominant abnormalities of b-cell numbers and function.

Key Diagnostic Point:

Common Variable Immunodeficiency (CVID) is a primary immunodeficiency disorder characterized by low levels of immunoglobulins and an increased susceptibility to infections. Patients with CVID often exhibit significant abnormalities in B-cell numbers and function, leading to impaired antibody production. This condition typically presents in late childhood or adulthood and is associated with recurrent bacterial infections, particularly of the respiratory and gastrointestinal tracts. In addition to infections, patients may experience autoimmune disorders, lymphoproliferative diseases, and an increased risk of malignancies. The diagnosis of CVID is based on clinical history, laboratory findings, and the exclusion of other causes of hypogammaglobulinemia. Management often includes immunoglobulin replacement therapy and treatment of infections and associated complications. Regular monitoring and supportive care are essential to improve the quality of life and reduce morbidity in affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms among patients
  • Need for comprehensive laboratory testing to confirm diagnosis
  • Differentiation from other immunodeficiencies and conditions
  • Potential for associated autoimmune and hematologic disorders

Audit Risk Factors

  • Inadequate documentation of immunoglobulin levels
  • Failure to document recurrent infections
  • Lack of evidence for B-cell function testing
  • Misclassification of related autoimmune conditions

Specialty Focus

Medical Specialties

Immunology

Documentation Requirements

Detailed immunological assessment results, including immunoglobulin levels and B-cell counts.

Common Clinical Scenarios

Patients presenting with recurrent infections, autoimmune manifestations, or unexplained hypogammaglobulinemia.

Billing Considerations

Ensure comprehensive documentation of all laboratory findings and treatment plans.

Hematology

Documentation Requirements

Complete blood counts, bone marrow biopsy results if applicable, and any hematologic complications.

Common Clinical Scenarios

Patients with CVID presenting with anemia, thrombocytopenia, or lymphoproliferative disorders.

Billing Considerations

Document any hematologic abnormalities and their management to support coding.

Coding Guidelines

Inclusion Criteria

Use D83.0 When
  • Follow the official ICD
  • CM coding guidelines for coding immunodeficiencies
  • Ensure that the diagnosis is supported by clinical documentation and laboratory results

Exclusion Criteria

Do NOT use D83.0 When
  • Exclude other causes of hypogammaglobulinemia before assigning this code

Related ICD-10 Codes

Related CPT Codes

36415CPT Code

Collection of venous blood by venipuncture

Clinical Scenario

Used for obtaining blood samples to assess immunoglobulin levels.

Documentation Requirements

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

Specialty Considerations

Ensure that the immunology specialty is aware of the blood collection for accurate interpretation.

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 accuracy of data collection and reimbursement processes. D83.0 provides a clear classification for CVID, facilitating better patient management and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of immunodeficiencies, improving the accuracy of data collection and reimbursement processes. D83.0 provides a clear classification for CVID, facilitating better patient management and research.

Reimbursement & Billing Impact

reimbursement processes. D83.0 provides a clear classification for CVID, facilitating better patient management and research.

Resources

Clinical References

  • •
    American Academy of Allergy, Asthma & Immunology

Coding & Billing References

  • •
    American Academy of Allergy, Asthma & Immunology

Frequently Asked Questions

What are the common symptoms of Common Variable Immunodeficiency?

Common symptoms include recurrent infections, particularly respiratory and gastrointestinal infections, autoimmune disorders, and lymphadenopathy. Patients may also experience chronic fatigue and other systemic symptoms.