MCMedicalCodingSoftware
D81.82

D81.82: Activated Phosphoinositide 3-kinase Delta Syndrome [APDS]

Billable / specific codeICD-10-CM

D81.82 is a billable, specific ICD-10-CM code for activated phosphoinositide 3-kinase delta syndrome [apds]. It is valid for submission on a claim.

Check D81.82 with the rest of the claim: free scrubber

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

  • , if applicable, any associated manifestations, such as:
  • bronchiectasis (J47.-)
  • herpes virus infections (B00.-)
  • other acute respiratory tract infections (J00-J06; J20-J22)
  • other infections (A00-B99)
  • pneumonia (J12-J18)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • p110d-activating mutation causing senescent T cells, lymphadenopathy, and immunodeficiency [PASLI] disease

Excludes1 inherited from the categories above D81.82

A category’s note binds every code beneath it.

Written on D81: Combined immunodeficiencies

  • autosomal recessive agammaglobulinemia (Swiss type) (D80.0)

Other codes that can never be billed with D81.82

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • E79Disorders of purine and pyrimidine metabolism

Risk adjustment

D81.82 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

  • HCC 114 Common Variable and Combined Immunodeficiencies2.262 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

D81.82 is named in 16 Medicare coverage policies: 16 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A52507External Infusion Pumps - Policy Article
  • A52509Intravenous Immune Globulin - Policy Article
  • A56464Billing and Coding: Flow Cytometry
  • A56718Billing and Coding: Intravenous Immunoglobulin (IVIG)

Alphabetic index entries that lead here

  • Disease, diseased›p110d-activating mutation causing senescent T cells, lymphadenopathy, and immunodeficiency [PASLI]
  • Syndrome›activated phosphoinositide 3-kinase delta syndrome [APDS]

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under D81.8

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.