D83.8: Other common variable immunodeficiencies

Risk adjustment

D83.8 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

D83.8 is named in 24 Medicare coverage policies: 24 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