D80.6 — Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinemia
D80.6 is a billable, specific ICD-10-CM code for antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinemia. It is valid for submission on a claim.
Risk adjustment
D80.6 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
D80.6 is named in 34 Medicare coverage policies — 34 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52507External Infusion Pumps - Policy Article
- A52509Intravenous Immune Globulin - Policy Article
- A54660Billing and Coding: Coverage of Intravenous Immune Globulin for Treatment of Primary Immune Deficiency Diseases in the Home – Medicare Benefit Policy Manual, Chapter 15, 50.6
- A55717Billing and Coding: Lab: Flow Cytometry
How D80.6 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 D80.6.
- Deficiency, deficient›antibody with›hyperimmunoglobulinemia
- Deficiency, deficient›antibody with›near-normal immunoglobins
- Immunodeficiency›antibody with›hyperimmunoglobulinemia
- Immunodeficiency›antibody with›near-normal immunoglobulins
- Immunodeficiency›with›hyperimmunoglobulinemia
Related codes at this level
Codes that share D80. If D80.6 is not quite right, the correct code is usually one of these.
- D80.0Hereditary hypogammaglobulinemia
- D80.1Nonfamilial 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]
- D80.7Transient hypogammaglobulinemia of infancy
- D80.8Other immunodeficiencies with predominantly antibody defects
- D80.9Immunodeficiency with predominantly antibody defects, unspecified
Questions about D80.6
- Is D80.6 a billable ICD-10-CM code?
- Yes. D80.6 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D80.6 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).