Coverage of Intravenous Immune Globulin for Treatment of Primary Immune Deficiency Diseases in the Home - Medicare Benefit Policy Manual, Chapter 15, 50.6 - R2

The Coverage of Intravenous Immune Globulin for Treatment of Primary Immune Deficiency Diseases in the Home – Medicare Benefit Policy Manual, Chapter 15, 50.6 coverage article has been revised and published for notice under contract numbers: 02101 (AK), 02201 (ID), 02301 (OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT) and 03601 (WY).

Effective Date: August 13, 2019
Summary of Changes: Revised to add the following ICD-10-CM codes per Change Request (CR)11295

  • D80.2, Selective deficiency of immunoglobulin A [IgA]
  • D80.3, Selective deficiency of immunoglobulin G [IgG] subclasses
  • D80.4, Selective deficiency of immunoglobulin M [IgM]
  • D80.6, Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinemia
  • D80.7, Transient hypogammaglobulinemia of infancy
  • D81.5, Purine nucleoside phosphorylase [PNP] deficiency
  • D82.1, Di George's syndrome
  • D82.4, Hyperimmunoglobulin E [IgE] syndrome
  • D83.1, Common variable immunodeficiency with predominant immunoregulatory T-cell disorders
  • G11.3, Cerebellar ataxia with defective DNA repair

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Last Updated Jul 29, 2019