D81
Non-Billable

Combined immunodeficiencies

Non-Billable / Non-Specific Code

What is Combined immunodeficiencies?

ICD-10-CM D81 is the diagnosis code for Combined immunodeficiencies. This code falls under the section "Certain disorders involving the immune mechanism" within Chapter 3 — Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

⛔ Excludes1

Coding Guidelines for D81

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as D81. They are mutually exclusive:

  • autosomal recessive agammaglobulinemia (Swiss type) (D80.0)

ICD-10-CM Code Hierarchy

Understanding where D81 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 10 entries
D81.0Severe combined immunodeficiency [SCID] with reticular dysgenesisBillableD81.1Severe combined immunodeficiency [SCID] with low T- and B-cell numbersBillableD81.2Severe combined immunodeficiency [SCID] with low or normal B-cell numbersBillableD81.3Adenosine deaminase [ADA] deficiencyNon-BillableD81.30Adenosine deaminase deficiency, unspecifiedBillableD81.31Severe combined immunodeficiency due to adenosine deaminase deficiencyBillableD81.32Adenosine deaminase 2 deficiencyBillableD81.39Other adenosine deaminase deficiencyBillableD81.4Nezelof's syndromeBillableD81.5Purine nucleoside phosphorylase [PNP] deficiencyBillableD81.6Major histocompatibility complex class I deficiencyBillableD81.7Major histocompatibility complex class II deficiencyBillableD81.8Other combined immunodeficienciesNon-BillableD81.81Biotin-dependent carboxylase deficiencyNon-BillableD81.810Biotinidase deficiencyBillableD81.818Other biotin-dependent carboxylase deficiencyBillableD81.819Biotin-dependent carboxylase deficiency, unspecifiedBillableD81.82Activated Phosphoinositide 3-kinase Delta Syndrome [APDS]BillableD81.89Other combined immunodeficienciesBillableD81.9Combined immunodeficiency, unspecifiedBillable
Related Codes

Frequently Asked Questions

Is D81 a billable ICD-10-CM code?

No, D81 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does D81 mean?

D81 is the ICD-10-CM diagnosis code for "Combined immunodeficiencies". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is D81 in?

D81 is located in Section D80-D89 — "Certain disorders involving the immune mechanism" within Chapter 3 of the ICD-10-CM Tabular List.

What are the sub-codes of D81?

D81 has 10 sub-code(s) that provide more specific detail: D81.0, D81.1, D81.2, D81.3, D81.4 and more.

When should I use D81?

Use D81 when the patients documented diagnosis matches "Combined immunodeficiencies" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Combined immunodeficiencies?

The ICD-10-CM code for Combined immunodeficiencies is D81.

Can D81 be used for primary diagnosis?

No, D81 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is D81 in?

D81 is in Chapter 3 of the ICD-10-CM Tabular List.

What conditions are excluded from D81?

Type 1 Excludes for D81 include: autosomal recessive agammaglobulinemia (Swiss type) (D80.0).

Is D81 valid for 2026?

Yes, D81 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousD80.9Immunodeficiency with predominantly antibody defects, unspecifiedNext →D81.0Severe combined immunodeficiency [SCID] with reticular dysgenesis
Code Details
D81
Combined immunodeficiencies
Non-Billable / Non-Specific Code
3 — Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)
D80-D89 — Certain disorders involving the immune mechanism
2026 ICD-10-CM