ICD-10 Coding for IVIG Infusion(D80.2, G61.81)
Complete ICD-10-CM coding and documentation guide for IVIG Infusion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to IVIG Infusion
D80-D89Primary Range
Disorders involving the immune mechanism
This range includes primary immunodeficiency disorders which are common indications for IVIG therapy.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D80.2 | Selective IgA deficiency | Use for patients with confirmed selective IgA deficiency and recurrent infections. |
|
| G61.81 | Chronic inflammatory demyelinating polyneuritis | Use for patients with confirmed CIDP requiring IVIG therapy. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for IVIG infusion
Essential facts and insights about IVIG Infusion
Primary ICD-10-CM Codes for procedure infusion of ivig
Decision Criteria
clinical Criteria
- Patient has serum IgA <7 mg/dL and recurrent infections.
Applicable To
- Isolated IgA deficiency
Excludes
- Common variable immunodeficiency (D83.0)
Clinical Validation Requirements
- Serum IgA <7 mg/dL
- Recurrent infections
Code-Specific Risks
- Misclassification with other immunodeficiencies
Coding Notes
- Ensure documentation of specific lab results and clinical symptoms to support the use of this code.
G61.81 - Chronic inflammatory demyelinating polyneuritis
Use for patients with confirmed CIDP requiring IVIG therapy.
Applicable To
- CIDP
Excludes
- Acute inflammatory demyelinating polyradiculoneuropathy (G61.0)
Clinical Validation Requirements
- Electrophysiological evidence of demyelination
- Progressive or relapsing neuropathy
Coding Notes
Ensure documentation includes electrophysiological studies and clinical course.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Injection, immune globulin (Privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg
J1459Services, supplies, and accessories used in the home under a Medicare IVIG demonstration project
Q2052Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting IVIG Infusion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D80.2.
Impact
Clinical: Inaccurate representation of patient's condition., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Use specific ICD-10 codes like D80.2 or G61.81., Verify diagnosis with lab results before coding.
Impact
Reimbursement: Claims may be denied if incorrect codes are used., Compliance: Incorrect coding can lead to audits and penalties., Data Quality: Misrepresentation of treatment data.
Mitigation Strategy
Verify the specific IVIG product and use the corresponding J-code.
Impact
Failure to document start and stop times accurately.
Mitigation Strategy
Implement a standardized process for recording infusion times.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for IVIG Infusion, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for IVIG Infusion
Use these documentation templates to ensure complete and accurate documentation for IVIG Infusion. These templates include all required elements for proper coding and billing.
IVIG Infusion for Selective IgA Deficiency
Specialty: ImmunologyRequired Elements
- Diagnosis confirmation
- Infusion details
- Patient weight
- Pre and post-infusion assessments
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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