D89 — Other disorders involving the immune mechanism, not elsewhere classified
D89 is a non-billable header ICD-10-CM code for other disorders involving the immune mechanism, not elsewhere classified. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- transplant failure and rejection (T86.-)
Other codes that can never be billed with D89
These codes carry an Excludes1 note pointing at D89. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D89 alone.
Risk adjustment
D89 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.
Code to one of these instead D89
7 child codes. Green means billable.
- D89.0Polyclonal hypergammaglobulinemia
- D89.1Cryoglobulinemia
- D89.2Hypergammaglobulinemia, unspecified
- D89.3Immune reconstitution syndrome
- D89.4Mast cell activation syndrome and related disorders
- D89.8Other specified disorders involving the immune mechanism, not elsewhere classified
- D89.9Disorder involving the immune mechanism, unspecified
Questions about D89
- Is D89 a billable ICD-10-CM code?
- No. D89 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does D89 sit in the tabular list?
- Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89), in the block Certain disorders involving the immune mechanism (D80-D89).
- What cannot be coded together with D89?
- D89 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.