ICD-10 Coding for DiGeorge Syndrome(Q93.81, D82.1)
Complete ICD-10-CM coding and documentation guide for DiGeorge Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to DiGeorge Syndrome
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Q93.81 | 22q11.2 deletion syndrome | Use when genetic testing confirms 22q11.2 deletion. |
|
| D82.1 | DiGeorge syndrome | Use when there is a clinical diagnosis of DiGeorge syndrome without genetic confirmation. |
|
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 DiGeorge syndrome
Essential facts and insights about DiGeorge Syndrome
Primary ICD-10-CM Codes for digeorge syndrome
Decision Criteria
clinical Criteria
- Genetic testing confirms 22q11.2 deletion.
Applicable To
- 22q11.2 deletion syndrome
Excludes
- DiGeorge syndrome without genetic confirmation
Clinical Validation Requirements
- FISH or microarray report confirming 22q11.2 deletion
Code-Specific Risks
- Incorrectly using this code without genetic confirmation.
Coding Notes
- Ensure genetic confirmation is documented before using Q93.81.
D82.1 - DiGeorge syndrome
Use when there is a clinical diagnosis of DiGeorge syndrome without genetic confirmation.
Applicable To
- DiGeorge syndrome without genetic confirmation
Excludes
- 22q11.2 deletion syndrome
Clinical Validation Requirements
- Clinical diagnosis based on symptoms like thymic aplasia or T-cell lymphopenia.
Coding Notes
Ensure clinical symptoms are documented before using D82.1.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting DiGeorge Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Q93.81.
Impact
Clinical: Misdiagnosis or inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Verify genetic test results before coding., Ensure documentation includes genetic confirmation.
Impact
Reimbursement: Incorrect sequencing can lead to claim denials., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data tracking and reporting.
Mitigation Strategy
Use Q93.81 as the primary code when genetic confirmation is present.
Impact
Lack of genetic confirmation can lead to audit discrepancies.
Mitigation Strategy
Ensure all genetic test results are documented and accessible.
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 DiGeorge Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for DiGeorge Syndrome
Use these documentation templates to ensure complete and accurate documentation for DiGeorge Syndrome. These templates include all required elements for proper coding and billing.
Pediatric patient with suspected DiGeorge syndrome
Specialty: PediatricsRequired Elements
- Genetic testing results
- Immune function tests
- Calcium levels
- Cardiac evaluations
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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