ICD-10 Code D80.4 | Selective deficiency of immunoglobulin M [IgM] Symptoms, Diagnosis, Billing

Selective deficiency of immunoglobulin M [IgM] is a primary immunodeficiency characterized by low levels of IgM antibodies, leading to increased susceptibility to infections. This condition can result from genetic mutations affecting B-cell development and function. Accurate coding with ICD-10 Code D80.4 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that patients receive appropriate care and resources.

What is ICD-10 Code D80.4 for Selective deficiency of immunoglobulin M [IgM]?

ICD-10 Code D80.4 represents Selective deficiency of immunoglobulin M [IgM], a condition where the body produces insufficient IgM antibodies. This deficiency can lead to recurrent infections and complications related to immune dysfunction. The code should be used in clinical documentation and billing when diagnosing patients with this specific immunodeficiency, ensuring accurate representation of their health status.

ICD-10 Code D80.4 – Clinical Definition and Explanation of Selective deficiency of immunoglobulin M [IgM]

Selective deficiency of immunoglobulin M [IgM] is primarily caused by genetic factors that impair the immune system's ability to produce adequate IgM antibodies. This condition can lead to recurrent bacterial infections, particularly in childhood, and may progress to more severe complications if not addressed. Medical attention is crucial for managing symptoms and preventing infections.

Key Clinical Features:

• Recurrent bacterial infections, particularly respiratory and gastrointestinal.
• Low serum IgM levels confirmed through laboratory testing.
• Increased susceptibility to certain pathogens, including encapsulated bacteria.
• Potential for autoimmune manifestations due to immune dysregulation.

ICD-10 Code D80.4 for Selective deficiency of immunoglobulin M [IgM] – SOAP Notes & Clinical Use

ICD-10 Code D80.4 is utilized in SOAP notes to document the clinical presentation, assessment, and treatment of patients with Selective deficiency of immunoglobulin M [IgM]. This code aids in capturing the patient's symptoms, guiding clinical decision-making, and ensuring appropriate billing in both acute and chronic care settings.

What Does ICD-10 Code D80.4 for Selective deficiency of immunoglobulin M [IgM] Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D80.4 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Selective deficiency of immunoglobulin M [IgM]. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D80.4 – Selective deficiency of immunoglobulin M [IgM]

Management of Selective deficiency of immunoglobulin M [IgM] often requires a multifaceted approach, including monitoring for infections and providing supportive care. Hospitalization may be necessary for severe cases or complications.

Antibiotic Therapy:

• First-line: Intravenous immunoglobulin (IVIG) therapy may be considered.
• Alternative: Prophylactic antibiotics such as amoxicillin may be used in recurrent infections.
• Duration: Treatment duration varies based on infection severity and response.

Supportive Care:

• Regular monitoring for infections and timely intervention.
• Vaccination against preventable diseases to reduce infection risk.
• Patient education on recognizing early signs of infection.

Infection Control:

• Implement standard precautions to prevent infection spread.
• Educate patients on hygiene practices, especially during outbreaks.
• Consider isolation measures for patients with severe immunodeficiency.

How to Document Symptoms of Selective deficiency of immunoglobulin M [IgM] (ICD-10 D80.4) in SOAP Notes

Subjective:

• Patient reports recurrent respiratory infections over the past year.
• History of frequent gastrointestinal infections leading to hospitalization.
• Complaints of fatigue and malaise during infection episodes.

Objective:

• Laboratory results show low serum IgM levels.
• Physical examination reveals signs of recent infection (e.g., fever, cough).
• Imaging studies may show signs of pneumonia or other infections.

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SOAP Note Guidelines for Diagnosing Selective deficiency of immunoglobulin M [IgM] (ICD-10 Code D80.4)

Assessment:

• Diagnosis: Selective deficiency of immunoglobulin M [IgM], moderate severity.
• ICD-10 Code: D80.4.
• Triggers: Recurrent infections, possible genetic predisposition.

Plan:

• Initiate IVIG therapy for immunoglobulin replacement.
• Educate patient on infection prevention strategies.
• Schedule follow-up appointments to monitor IgM levels and infection status.

Treatment & Plan Section for ICD-10 Code D80.4 – Selective deficiency of immunoglobulin M [IgM]

• Consider immunoglobulin replacement therapy as first-line treatment.
• Implement prophylactic antibiotics for recurrent infections.
• Educate patients on lifestyle modifications to reduce infection risk.
• Regular follow-up to assess treatment efficacy and adjust as needed.

Using ICD-10 Code D80.4 for Selective deficiency of immunoglobulin M [IgM] in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
• Use D80.4 in billing to reflect the specific immunodeficiency diagnosis.
• Align treatment plans with clinical guidelines to support justified billing.
• Include relevant patient history and laboratory results to substantiate the diagnosis.

Related ICD-10 Codes Often Used with Selective deficiency of immunoglobulin M [IgM]

• D80.0 – Selective deficiency of immunoglobulin G [IgG]
• D80.1 – Selective deficiency of immunoglobulin A [IgA]
• D80.2 – Selective deficiency of immunoglobulin E [IgE]
• D80.3 – Combined immunodeficiency with selective deficiency of immunoglobulin M [IgM]

ICD-10 Code D80.4 in Medical Billing and Insurance for Selective deficiency of immunoglobulin M [IgM]

ICD-10 Code D80.4 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings and patient history to support the claim.
• Use D80.4 in conjunction with other codes for comprehensive billing.
• Ensure that treatment plans are clearly outlined in the medical record.

Common CPT Pairings: