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IgG ICD-10 codes for policy.docx
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ICD-10-CM Codes associated with Immune globulin therapy – Effective 10/1/2015
ICD-10-CM Codes ICD-10-CM codes listed below are for informational purposes only, and do not guarantee member coverage or provider reimbursement.The list may not be all-inclusive.
ICD-10-CM Code(s) ICD-10-CM Code description(s) B20 Human immunodeficiency virus [HIV] disease
C90.00-C90.02 Multiple myeloma
C91.10-C91.12 Chronic lymphocytic leukemia of B-cell type
C91.Z0-C91.92 Other and unspecified lymphoid leukemia
C95.10-C95.12 Chronic leukemia of unspecified cell type
D59.0 Drug-induced autoimmune hemolytic anemia
D59.1 Other autoimmune hemolytic anemias
D69.3 Immune thrombocytopenic purpura
D69.41 Evans syndrome
D69.51-D69.59 Secondary thrombocytopenia
D80.0 Hereditary hypogammaglobulinemia
D80.1 Nonfamilial hypogammaglobulinemia
D80.3 Selective deficiency of immunoglobulin G [IgG] subclasses
D80.4 Selective deficiency of immunoglobulin M [IgM]
D80.5 Immunodeficiency with increased immunoglobulin M [IgM]
D80.7 Transient hypogammaglobulinemia of infancy
D81.0-D81.2 Severe combined immunodeficiency [SCID]
D81.6 Major histocompatibility complex class I deficiency
D81.7 Major histocompatibility complex class II deficiency
D81.89 Other combined immunodeficiencies
D81.9 Combined immunodeficiency, unspecified
D82.0-D82.9 Immunodeficiency associated with other major defects
D83.0, D83.2-D83.9 Common variable immunodeficiency
D84.0 Lymphocyte function antigen-1 [LFA-1] defect
D84.1 Defects in the complement system
D89.3 Immune reconstitution syndrome
D89.810, D89.812, D89.89 Graft-versus-host disease
G61.0, G61.81, G61.89 Inflammatory polyneuropathy
G62.89 Other specified polyneuropathies
G64 Other disorders of peripheral nervous system
G65.0 Sequelae of Guillain-Barre syndrome
G70.01 Myasthenia gravis with (acute) exacerbation
G70.80, G70.81 Lambert-Eaton syndrome
G71.2 Congenital myopathies
G71.3 Mitochondrial myopathy, not elsewhere classified
G71.8 Other primary disorders of muscles
G71.9 Primary disorder of muscle, unspecified
G72.0 Drug-induced myopathy
G72.1 Alcoholic myopathy
G72.81 Critical illness myopathy
G72.89 Other specified myopathies
G72.9 Myopathy, unspecified
G73.1-G37.7 Disorders of myoneural junction and muscle in diseases classified elsewhere
L10.0-L10.9 Pemphigus
L12.0, L12.1, L12.8, L12.9 Pemphigoid
L13.0-L14 Other bullous disorders & bullous disorders in diseases classified elsewhere
M33.00-M33.99 Dermatopolymyositis
IgG ICD-10 codes for policy.docx
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M35.9 Systemic involvement of connective tissue, unspecified
M36.0 Dermato(poly)myositis in neoplastic disease
Z48.290 Encounter for aftercare following bone marrow transplant
Z94.81 Bone marrow transplant status
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