D80.1 — Nonfamilial hypogammaglobulinemia
D80.1 is a billable, specific ICD-10-CM code for nonfamilial hypogammaglobulinemia. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Agammaglobulinemia with immunoglobulin-bearing B-lymphocytes
- Common variable agammaglobulinemia [CVAgamma]
- Hypogammaglobulinemia NOS
Risk adjustment
D80.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
D80.1 is named in 31 Medicare coverage policies — 31 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55717Billing and Coding: Lab: Flow Cytometry
- A56464Billing and Coding: Flow Cytometry
- A56638Billing and Coding: Gastrointestinal Pathogen (GIP) Panels Utilizing Multiplex Nucleic Acid Amplification Techniques (NAATs)
- A56642Billing and Coding: Gastrointestinal Pathogen (GIP) Panels Utilizing Multiplex Nucleic Acid Amplification Techniques (NAATs)
How D80.1 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D80.1.
- Agammaglobulinemia(acquired (secondary)) (nonfamilial)
- Hypogammaglobulinemia
- Absence›gamma globulin in blood
- Agammaglobulinemia›common variable(CVAgamma)
- Deficiency, deficient›gammaglobulin in blood
- Hypogammaglobulinemia›nonfamilial
- Agammaglobulinemia›with›immunoglobulin-bearing B-lymphocytes
- Arthritis, arthritic›in›hypogammaglobulinemia
- Syndrome›antibody deficiency›agammaglobulinemic
- Syndrome›antibody deficiency›hypogammaglobulinemic
- Disease, diseased›connective tissue, systemic›in›hypogammaglobulinemia
Related codes at this level
Codes that share D80. If D80.1 is not quite right, the correct code is usually one of these.
- D80.0Hereditary hypogammaglobulinemia
- D80.2Selective deficiency of immunoglobulin A [IgA]
- D80.3Selective deficiency of immunoglobulin G [IgG] subclasses
- D80.4Selective deficiency of immunoglobulin M [IgM]
- D80.5Immunodeficiency with increased immunoglobulin M [IgM]
- D80.6Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinemia
- D80.7Transient hypogammaglobulinemia of infancy
- D80.8Other immunodeficiencies with predominantly antibody defects
- D80.9Immunodeficiency with predominantly antibody defects, unspecified
Questions about D80.1
- Is D80.1 a billable ICD-10-CM code?
- Yes. D80.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D80.1 sit in the tabular list?
- Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89), in the block Certain disorders involving the immune mechanism (D80-D89).