ICD-10 Code D82.1 | Di George's syndrome Symptoms, Diagnosis, Billing

Di George's syndrome, also known as 22q11.2 deletion syndrome, is a genetic disorder caused by a deletion of a small segment of chromosome 22. This condition is clinically significant due to its association with a range of health issues, including immune deficiency, congenital heart defects, and developmental delays. Accurate coding with ICD-10 Code D82.1 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 D82.1 for Di George's syndrome?

ICD-10 Code D82.1 specifically represents Di George's syndrome, a disorder characterized by the absence or dysfunction of the thymus gland, leading to immunodeficiency. This code should be used in clinical documentation and billing when diagnosing patients with this syndrome, particularly when associated complications such as cardiac anomalies or hypoparathyroidism are present.

ICD-10 Code D82.1 – Clinical Definition and Explanation of Di George's syndrome

Di George's syndrome is primarily caused by a deletion on chromosome 22, leading to various developmental and health issues. The condition can progress to severe immunodeficiency and requires prompt medical attention to manage associated complications effectively.

Key Clinical Features:

• Thymic hypoplasia leading to immunodeficiency
• Congenital heart defects such as tetralogy of Fallot
• Hypoparathyroidism causing hypocalcemia
• Facial dysmorphisms including a long face and low-set ears

ICD-10 Code D82.1 for Di George's syndrome – SOAP Notes & Clinical Use

ICD-10 Code D82.1 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and facilitating appropriate management.

What Does ICD-10 Code D82.1 for Di George's syndrome Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D82.1 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Di George's syndrome. This coding ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code D82.1 – Di George's syndrome

Hospitalization may be necessary for patients with Di George's syndrome, particularly for managing severe immunodeficiency and associated complications. Treatment approaches are tailored to the individual's needs.

Antibiotic Therapy:

• Not applicable as Di George's syndrome is not infectious; however, prophylactic antibiotics may be used for infections.
• Consideration of intravenous immunoglobulin (IVIG) therapy for immunocompromised patients.
• Duration of therapy is based on clinical judgment and infection risk.

Supportive Care:

• Regular monitoring of calcium levels and supplementation as needed.
• Management of congenital heart defects through surgical intervention.
• Developmental support and early intervention services.

Infection Control:

• Strict hygiene practices to prevent infections.
• Education on recognizing signs of infection early.
• Vaccination recommendations tailored to immunocompromised status.

How to Document Symptoms of Di George's syndrome (ICD-10 D82.1) in SOAP Notes

Subjective:

• Patient reports recurrent infections and fatigue.
• Family history of congenital heart defects noted.
• Patient expresses concerns about developmental delays.

Objective:

• Thymic shadow absent on chest X-ray.
• Vital signs stable; however, hypocalcemia noted on lab results.
• Cardiac examination reveals a murmur consistent with a congenital defect.

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SOAP Note Guidelines for Diagnosing Di George's syndrome (ICD-10 Code D82.1)

Assessment:

• Diagnosis: Di George's syndrome, moderate severity.
• ICD-10 Code: D82.1.
• Triggers include genetic predisposition and environmental factors.

Plan:

• Initiate immunological evaluation and management plan.
• Refer to cardiology for assessment of congenital heart defects.
• Educate family on signs of hypocalcemia and infection prevention.

Treatment & Plan Section for ICD-10 Code D82.1 – Di George's syndrome

• Consider immunoglobulin therapy for recurrent infections.
• Implement calcium supplementation and monitor levels regularly.
• Coordinate with multidisciplinary teams for developmental support and cardiac care.
• Schedule regular follow-ups to monitor health status and adjust treatment as necessary.

Using ICD-10 Code D82.1 for Di George's syndrome in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in the Subjective (S) and Objective (O) sections.
• Utilize D82.1 in billing to reflect the complexity of care required for patients with this syndrome.
• Align treatment plans with clinical guidelines to support justified billing practices.
• Include relevant CPT codes that correspond with the services provided to ensure compliance.

Related ICD-10 Codes Often Used with Di George's syndrome

• D82.0 – Severe combined immunodeficiency due to adenosine deaminase deficiency

ICD-10 Code D82.1 in Medical Billing and Insurance for Di George's syndrome

ICD-10 Code D82.1 is crucial for billing in hospital, ER, or infectious disease care settings, ensuring that the complexities of Di George's syndrome are accurately captured.

Billing Notes:

• Document all relevant clinical findings and patient history to support the use of D82.1.
• Use this code in conjunction with other relevant codes to reflect the full scope of the patient's condition.
• Ensure that all documentation aligns with payer requirements for reimbursement.

Common CPT Pairings: