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ICD-10 Guide
ICD-10 CodesD89.84

D89.84

Billable

IgG4-related disease

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

Code Description

ICD-10 D89.84 is a billable code used to indicate a diagnosis of igg4-related disease.

Key Diagnostic Point:

IgG4-related disease is a systemic condition characterized by elevated serum IgG4 levels and the infiltration of IgG4-positive plasma cells in various tissues. This condition can affect multiple organs, including the pancreas, salivary glands, kidneys, and lymph nodes, leading to a range of symptoms such as swelling, pain, and dysfunction of the affected organs. The disease is often misdiagnosed due to its diverse presentations, which can mimic other conditions such as autoimmune diseases and malignancies. Diagnosis typically involves imaging studies, serological tests for IgG4 levels, and histopathological examination of biopsies. Treatment usually includes corticosteroids, which can lead to significant improvement in symptoms and organ function. However, the management of IgG4-related disease can be complex due to the potential for relapse and the need for long-term monitoring.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Varied presentations across different organ systems
  • Need for comprehensive diagnostic criteria
  • Potential overlap with other autoimmune and hematologic disorders
  • Requirement for detailed documentation of symptoms and treatment response

Audit Risk Factors

  • Inadequate documentation of IgG4 levels
  • Failure to document multi-organ involvement
  • Misclassification of the disease as a malignancy or other autoimmune disorder
  • Lack of follow-up documentation for treatment response

Specialty Focus

Medical Specialties

Rheumatology

Documentation Requirements

Detailed clinical notes on symptoms, lab results, and treatment plans.

Common Clinical Scenarios

Patients presenting with unexplained organ dysfunction, elevated IgG4 levels, or symptoms mimicking other autoimmune diseases.

Billing Considerations

Ensure comprehensive documentation of all affected organs and treatment responses to support the diagnosis.

Gastroenterology

Documentation Requirements

Endoscopic findings, imaging results, and biopsy reports for gastrointestinal involvement.

Common Clinical Scenarios

Patients with pancreatic masses or autoimmune pancreatitis.

Billing Considerations

Document the correlation between imaging findings and laboratory results to substantiate the diagnosis.

Coding Guidelines

Inclusion Criteria

Use D89.84 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of symptoms, laboratory findings, and treatment plans

Exclusion Criteria

Do NOT use D89.84 When
  • Include any relevant exclusions and ensure that the diagnosis is supported by clinical evidence

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Immunoglobulin G (IgG) test

Clinical Scenario

Used to confirm elevated IgG4 levels in suspected cases.

Documentation Requirements

Document the reason for testing and the results.

Specialty Considerations

Rheumatologists and immunologists should ensure comprehensive lab documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of IgG4-related disease, improving the accuracy of diagnoses and treatment tracking. This specificity aids in research and understanding of the disease's prevalence and management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of IgG4-related disease, improving the accuracy of diagnoses and treatment tracking. This specificity aids in research and understanding of the disease's prevalence and management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of IgG4-related disease, improving the accuracy of diagnoses and treatment tracking. This specificity aids in research and understanding of the disease's prevalence and management.

Resources

Clinical References

  • •
    IgG4-Related Disease Foundation

Coding & Billing References

  • •
    IgG4-Related Disease Foundation

Frequently Asked Questions

What are the common symptoms of IgG4-related disease?

Common symptoms include swelling of affected organs, pain, jaundice, and unexplained weight loss. Symptoms can vary widely depending on the organs involved.