Is R76.0 a billable ICD-10-CM code?

Yes. R76.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does R76.0 sit in the tabular list?

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal findings on examination of blood, without diagnosis (R70-R79).

What cannot be coded together with R76.0?

R76.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

R76.0

R76.0 — Raised antibody titer

Billable / specific codeICD-10-CM

R76.0 is a billable, specific ICD-10-CM code for raised antibody titer. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

isoimmunization in pregnancy (O36.0-O36.1)
isoimmunization affecting newborn (P55.-)

Other codes that can never be billed with R76.0

These codes carry an Excludes1 note pointing at R76.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R76.0 alone.

D68.61Antiphospholipid syndrome
D68.62Lupus anticoagulant syndrome
D68.312Antiphospholipid antibody with hemorrhagic disorder
D68.5Primary thrombophilia

Risk adjustment

R76.0 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

R76.0 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56421Billing and Coding: CT of the Abdomen and Pelvis

How R76.0 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 R76.0.

Antibody›anticardiolipin
Antibody›antiphosphatidylglycerol
Antibody›antiphosphatidylinositol
Antibody›antiphosphatidylserine
Antibody›antiphospholipid
Elevated, elevation›antibody titer
Findings, abnormal, inconclusive, without diagnosis›antibody titer, elevated
Findings, abnormal, inconclusive, without diagnosis›anticardiolipin antibody
Findings, abnormal, inconclusive, without diagnosis›antiphosphatidylglycerol antibody
Findings, abnormal, inconclusive, without diagnosis›antiphosphatidylinositol antibody
Findings, abnormal, inconclusive, without diagnosis›antiphosphatidylserine antibody
Findings, abnormal, inconclusive, without diagnosis›antiphospholipid antibody

Related codes at this level

Codes that share R76. If R76.0 is not quite right, the correct code is usually one of these.

Questions about R76.0

Is R76.0 a billable ICD-10-CM code?: Yes. R76.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R76.0 sit in the tabular list?: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal findings on examination of blood, without diagnosis (R70-R79).
What cannot be coded together with R76.0?: R76.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.