APPENDIX F: High-Risk Immunocompromised State Diagnosis ...

AHRQ QITM ICD-10-CM/PCS Specification v2019 Pediatric Quality Indicators Appendices qualityindicators.

APPENDIX F: High-Risk Immunocompromised State Diagnosis and Procedure Codes

High-risk immunocompromised state diagnosis codes: (IMMUNHD)

B20

B59 C802 C8300

C8301 C8302 C8303 C8304 C8305

Human immunodeficiency virus [HIV] disease

Pneumocystosis

Malignant neoplasm associated with transplanted organ Small cell B-cell lymphoma, unspecified site

Small cell B-cell lymphoma, lymph nodes of head, face, and neck Small cell B-cell lymphoma, intrathoracic lymph nodes Small cell B-cell lymphoma, intraabdominal lymph nodes Small cell B-cell lymphoma, lymph nodes of axilla and upper limb Small cell B-cell lymphoma, lymph nodes of inguinal region and lower limb

D479

D47Z1 D47Z2 D47Z9

D6109 D61810 D61811 D61818 D700

Neoplasm of uncertain behavior of lymphoid, hematopoietic and related tissue, unspecified Post-transplant lymphoproliferative disorder (PTLD) Castleman disease

Other specified neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue Other constitutional aplastic anemia

Antineoplastic chemotherapy induced pancytopenia Other drug-induced pancytopenia

Other pancytopenia

Congenital agranulocytosis

C8306 C8307 C8308 C8309 C8330 C8331 C8332 C8333 C8334

Small cell B-cell lymphoma, intrapelvic lymph nodes Small cell B-cell lymphoma, spleen Small cell B-cell lymphoma, lymph nodes of multiple sites Small cell B-cell lymphoma, extranodal and solid organ sites Diffuse large B-cell lymphoma, unspecified site Diffuse large B-cell lymphoma, lymph nodes of head, face, and neck Diffuse large B-cell lymphoma, intrathoracic lymph nodes Diffuse large B-cell lymphoma, intraabdominal lymph nodes Diffuse large B-cell lymphoma, lymph nodes of axilla and upper limb

D701 D702 D704 D708 D709 D71 D720 D72810 D72818

Agranulocytosis secondary to cancer chemotherapy Other drug-induced agranulocytosis Cyclic neutropenia

Other neutropenia

Neutropenia, unspecified

Functional disorders of polymorphonuclear neutrophils Genetic anomalies of leukocytes

Lymphocytopenia

Other decreased white blood cell count

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Appendix F

C8335

Diffuse large B-cell lymphoma, lymph D72819 Decreased white blood cell count,

nodes of inguinal region and lower limb

unspecified

C8336 C8337

Diffuse large B-cell lymphoma, intrapelvic lymph nodes Diffuse large B-cell lymphoma, spleen

D7381 D7581

Neutropenic splenomegaly Myelofibrosis

C8338 C8339 C8350 C8351 C8352 C8353 C8354 C8355

C8356 C8357

C8358 C8359 C8370

Diffuse large B-cell lymphoma, lymph nodes of multiple sites Diffuse large B-cell lymphoma, extranodal and solid organ sites Lymphoblastic (diffuse) lymphoma, unspecified site Lymphoblastic (diffuse) lymphoma, lymph nodes of head, face, and neck Lymphoblastic (diffuse) lymphoma, intrathoracic lymph nodes Lymphoblastic (diffuse) lymphoma, intra-abdominal lymph nodes Lymphoblastic (diffuse) lymphoma, lymph nodes of axilla and upper limb Lymphoblastic (diffuse) lymphoma, lymph nodes of inguinal region and lower limb Lymphoblastic (diffuse) lymphoma, intrapelvic lymph nodes Lymphoblastic (diffuse) lymphoma, spleen

Lymphoblastic (diffuse) lymphoma, lymph nodes of multiple sites Lymphoblastic (diffuse) lymphoma, extranodal and solid organ sites Burkitt lymphoma, unspecified site

D761 D762 D763 D800 D801 D802 D803 D804

D805 D806

D807 D808 D809

Hemophagocytic lymph histiocytosis

Hemophagocytic syndrome, infectionassociated Other histiocytosis syndromes

Hereditary hypogammaglobulinemia

Nonfamilial hypogammaglobulinemia

Selective deficiency of immunoglobulin A [IgA] Selective deficiency of immunoglobulin G [IgG] subclasses Selective deficiency of immunoglobulin M [IgM]

Immunodeficiency with increased immunoglobulin M [IgM] Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinemia Transient hypogammaglobulinemia of infancy Other immunodeficiencies with predominantly antibody defects Immunodeficiency with predominantly antibody defects, unspecified

C8371 C8372

Burkitt lymphoma, lymph nodes of head, face, and neck Burkitt lymphoma, intrathoracic lymph nodes

D810 D811

Severe combined immunodeficiency [SCID] with reticular dysgenesis Severe combined immunodeficiency [SCID] with low T-and B-cell numbers

C8373

Burkitt lymphoma, intra-abdominal lymph nodes

D812

Severe combined immunodeficiency [SCID] with low or normal B-cell numbers

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Appendix F

C8374 C8375 C8376 C8377 C8378 C8379 C8380 C8381 C8382

Burkitt lymphoma, lymph nodes of axilla and upper limb Burkitt lymphoma, lymph nodes of inguinal region and lower limb Burkitt lymphoma, intrapelvic lymph nodes Burkitt lymphoma, spleen Burkitt lymphoma, lymph nodes of multiple sites Burkitt lymphoma, extranodal and solid organ sites Other non-follicular lymphoma, unspecified site Other non-follicular lymphoma, lymph nodes of head, face, and neck Other non-follicular lymphoma, intrathoracic lymph nodes

D814 D816 D817 D8189 D819 D820 D821 D822 D823

C8383 C8384 C8385

Other non-follicular lymphoma, intraabdominal lymph nodes Other non-follicular lymphoma, lymph nodes of axilla and upper limb Other non-follicular lymphoma, lymph nodes of inguinal region and lower limb

D824 D828 D829

C8386

Other non-follicular lymphoma, intrapelvic lymph nodes

D830

C8387 Other non-follicular lymphoma, spleen D831

C8388 C8389 C8390 C8391

C8392

Other non-follicular lymphoma, lymph nodes of multiple sites Other non-follicular lymphoma, extranodal and solid organ sites Non-follicular (diffuse) lymphoma, unspecified, unspecified site Non-follicular (diffuse) lymphoma, unspecified, lymph nodes of head, face, and neck Non-follicular (diffuse) lymphoma, unspecified, intrathoracic lymph nodes

D832 D838 D839 D840

D841

Nezelof's syndrome

Major histocompatibility complex class I deficiency Major histocompatibility complex class II deficiency Other combined immunodeficiencies Combined immunodeficiency, unspecified Wiskott-Aldrich syndrome

Di George's syndrome

Immunodeficiency with short-limbed stature Immunodeficiency following hereditary defective response to Epstein-Barr virus

Hyperimmunoglobulin E [IgE] syndrome Immunodeficiency associated with other specified major defects Immunodeficiency associated with major defect, unspecified

Common variable immunodeficiency with predominant abnormalities of Bcell numbers and function Common variable immunodeficiency with predominant immunoregulatory Tcell disorders Common variable immunodeficiency with autoantibodies to B- or T-cells Other common variable immunodeficiencies Common variable immunodeficiency, unspecified Lymphocyte function antigen-1 [LFA1] defect

Defects in the complement system

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Appendix F

C8393

C8394

C8395

C8396 C8397 C8398

C8399

C865 C866

C888 C9002 C9012 C9022 C9032 C9102

C9112

C9132

Non-follicular (diffuse) lymphoma, unspecified, intra-abdominal lymph nodes Non-follicular (diffuse) lymphoma, unspecified, lymph nodes of axilla and upper limb Non-follicular (diffuse) lymphoma, unspecified, lymph nodes of inguinal region and lower limb Non-follicular (diffuse) lymphoma, unspecified, intrapelvic lymph nodes Non-follicular (diffuse) lymphoma, unspecified, spleen Non-follicular (diffuse) lymphoma, unspecified, lymph nodes of multiple sites Non-follicular (diffuse) lymphoma, unspecified, extranodal and solid organ sites Angioimmunoblastic T-cell lymphoma

Primary cutaneous CD30-positive Tcell proliferations

Other malignant immunoproliferative diseases Multiple myeloma in relapse Plasma cell leukemia in relapse Extramedullary plasmacytoma in relapse Solitary plasmacytoma in relapse

Acute lymphoblastic leukemia, in relapse

Chronic lymphocytic leukemia of B-cell type in relapse

Prolymphocytic leukemia of B-cell type, in relapse

D848

D849

D893

D89810 D89811 D89812

D89813

D8982 D8989

D899 E40 E41 E42 E43 I120

I1311

I132

Other specified immunodeficiencies

Immunodeficiency, unspecified

Immune reconstitution syndrome

Acute graft-versus-host disease

Chronic graft-versus-host disease

Acute on chronic graft-versus-host disease

Graft-versus-host disease, unspecified

Autoimmune lymphoproliferative syndrome [ALPS] Other specified disorders involving the immune mechanism, not elsewhere classified Disorder involving the immune mechanism, unspecified Kwashiorkor Nutritional marasmus Marasmic kwashiorkor

Unspecified severe protein-calorie malnutrition Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease

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Appendix F

C9152 C9162 C9192 C91A2 C91Z2 C9200 C9201 C9202

Adult T-cell lymphoma/leukemia (HTLV-1-associated), in relapse Prolymphocytic leukemia of T-cell type, in relapse Lymphoid leukemia, unspecified, in relapse Mature B-cell leukemia Burkitt-type, in relapse Other lymphoid leukemia, in relapse Acute myeloblastic leukemia, not having achieved remission Acute myeloblastic leukemia, in remission Acute myeloblastic leukemia, in relapse

K912 N185 N186 T8600 T8601 T8602 T8603 T8609

C9210

Chronic myeloid leukemia, BCR/ABLpositive, not having achieved remission

T8610

Postsurgical malabsorption, not elsewhere classified Chronic kidney disease, stage 5

End stage renal disease

Unspecified complication of bone marrow transplant Bone marrow transplant rejection Bone marrow transplant failure

Bone marrow transplant infection

Other complications of bone marrow transplant Unspecified complication of kidney transplant

C9211 C9212 C9220

C9221 C9222 C9230 C9231 C9232 C9240 C9241 C9242 C9250 C9251

Chronic myeloid leukemia, BCR/ABLpositive, in remission Chronic myeloid leukemia, BCR/ABLpositive, in relapse Atypical chronic myeloid leukemia, BCR/ABL-negative, not having achieved remission Atypical chronic myeloid leukemia, BCR/ABL-negative, in remission Atypical chronic myeloid leukemia, BCR/ABL-negative, in relapse Myeloid sarcoma, not having achieved remission Myeloid sarcoma, in remission Myeloid sarcoma, in relapse Acute promyelocytic leukemia, not having achieved remission Acute promyelocytic leukemia, in remission Acute promyelocytic leukemia, in relapse Acute myelomonocytic leukemia, not having achieved remission Acute myelomonocytic leukemia, in remission

T8611 T8612 T8613

Kidney transplant rejection Kidney transplant failure Kidney transplant infection

T8619 Other complication of kidney transplant

T8620 T8621

Unspecified complication of heart transplant Heart transplant rejection

T8622 T8623 T86290

Heart transplant failure Heart transplant infection Cardiac allograft vasculopathy

T86298 Other complications of heart transplant

T8630 T8631

Unspecified complication of heart-lung transplant Heart-lung transplant rejection

T8632 Heart-lung transplant failure

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