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.

Check R76.0 with the rest of the claim: free scrubber

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

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

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

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

R76.0 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56421Billing and Coding: CT of the Abdomen and Pelvis

Alphabetic index entries that lead here

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

Code history

Unchanged in every release from FY2024 to FY2027.