D82.1

D82.1: Di George's syndrome

Billable / specific codeICD-10-CM

D82.1 is a billable, specific ICD-10-CM code for di george's syndrome. It is valid for submission on a claim.

Check D82.1 with the rest of the claim: free scrubber

Inclusion terms

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

Pharyngeal pouch syndrome
Thymic alymphoplasia
Thymic aplasia or hypoplasia with immunodeficiency

Excludes1 inherited from the categories above D82.1

A category’s note binds every code beneath it.

Written on D82: Immunodeficiency associated with other major defects

ataxia telangiectasia [Louis-Bar] (G11.3)

Other codes that can never be billed with D82.1

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

E20Hypoparathyroidism
E32Diseases of thymus
Q38.7Congenital pharyngeal pouch
E32.8Other diseases of thymus

Risk adjustment

D82.1 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 115 Specified Immunodeficiencies and White Blood Cell Disorders0.565 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

D82.1 is named in 28 Medicare coverage policies: 28 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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

Alphabetic index entries that lead here

Alymphoplasia, thymic
Di George's syndrome
DiGeorge's syndrome(thymic hypoplasia)
Pharyngeal pouch syndrome
Alymphocytosis›thymic(with immunodeficiency)
Aplasia›parathyroid-thymic
Aplasia›thymic, with immunodeficiency
Dysplasia›thymic, with immunodeficiency
Hypoplasia, hypoplastic›thymic, with immunodeficiency
Syndrome›di George's
Syndrome›pharyngeal pouch
Hypoplasia, hypoplastic›thymus›with immunodeficiency

Code history

Unchanged in every release from FY2024 to FY2027.