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ICD-10 Guide
ICD-10 CodesD89.0

D89.0

Billable

Polyclonal hypergammaglobulinemia

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

Code Description

ICD-10 D89.0 is a billable code used to indicate a diagnosis of polyclonal hypergammaglobulinemia.

Key Diagnostic Point:

Polyclonal hypergammaglobulinemia is a hematological condition characterized by an increase in the levels of immunoglobulins in the blood, resulting from the proliferation of multiple clones of B lymphocytes. This condition can be a response to various stimuli, including chronic infections, autoimmune diseases, and certain malignancies. Clinically, patients may present with symptoms related to the underlying cause, such as fatigue, recurrent infections, or signs of autoimmune disorders. Laboratory findings typically reveal elevated serum immunoglobulin levels, and the diagnosis may require further investigation to identify any underlying conditions contributing to the hypergammaglobulinemia. It is essential for healthcare providers to differentiate this condition from monoclonal gammopathies, such as multiple myeloma, which involve a single clone of plasma cells. Management of polyclonal hypergammaglobulinemia focuses on treating the underlying cause and may involve immunosuppressive therapy in cases related to autoimmune disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from monoclonal gammopathies
  • Need for comprehensive patient history
  • Potential for multiple underlying causes
  • Variability in clinical presentation

Audit Risk Factors

  • Inadequate documentation of underlying conditions
  • Failure to specify the cause of hypergammaglobulinemia
  • Misclassification with monoclonal gammopathies
  • Lack of supporting laboratory results

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed laboratory results showing immunoglobulin levels and any relevant imaging studies.

Common Clinical Scenarios

Patients presenting with unexplained anemia, recurrent infections, or autoimmune symptoms.

Billing Considerations

Ensure thorough documentation of all laboratory tests and clinical evaluations to support the diagnosis.

Rheumatology

Documentation Requirements

Comprehensive patient history and physical examination findings related to autoimmune symptoms.

Common Clinical Scenarios

Patients with autoimmune diseases presenting with elevated immunoglobulin levels.

Billing Considerations

Document any autoimmune markers and treatment plans to justify the diagnosis.

Coding Guidelines

Inclusion Criteria

Use D89.0 When
  • According to ICD
  • 10 coding guidelines, D89
  • 0 should be used when there is clear documentation of elevated immunoglobulin levels without a specified underlying cause
  • Coders should ensure that the diagnosis is supported by laboratory findings and clinical documentation

Exclusion Criteria

Do NOT use D89.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

84155CPT Code

Immunoglobulin quantitation

Clinical Scenario

Used to confirm elevated immunoglobulin levels in patients suspected of having hypergammaglobulinemia.

Documentation Requirements

Document the reason for the test and any relevant clinical findings.

Specialty Considerations

Hematologists should ensure that the test 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 conditions like polyclonal hypergammaglobulinemia, improving the accuracy of diagnoses and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like polyclonal hypergammaglobulinemia, improving the accuracy of diagnoses and treatment tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like polyclonal hypergammaglobulinemia, improving the accuracy of diagnoses and treatment tracking.

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 are the common causes of polyclonal hypergammaglobulinemia?

Common causes include chronic infections, autoimmune diseases, and certain malignancies. It is essential to investigate the underlying cause to manage the condition effectively.