ICD-10 D72.825
Billable / SpecificBandemia
About ICD-10-CM D72.825
ICD-10-CM code D72.825 represents Bandemia. This is a billable/specific code in the Blood and Blood-forming Organs chapter (block D72). The 2026 edition of ICD-10-CM D72.825 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under D72.825. Per CMS ICD-10-CM Tabular 2026.
- Bandemia without diagnosis of specific infection
Type 1 Excludes
Pure excludes, these codes can never be coded together with D72.825. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- confirmed infection - code to infection
- leukemia (C91.-, C92.-, C93.-, C94.-, C95.-)
Medicare LCD Coverage for D72.825
Local Coverage Determinations (LCDs) from CMS MACs that list D72.825 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing D72.825.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but D72.825 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with D72.825
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert D72.825 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| D72.825 | 28866 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To D72.825
Other codes in section D70-D77 (Other disorders of blood and blood-forming organs).
ICD-10 D72.825, Billing FAQ
Is ICD-10 code D72.825 billable? +
Yes, D72.825 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to D72.825? +
ICD-10 D72.825 includes: Bandemia without diagnosis of specific infection.
What codes are Type 1 Excludes for D72.825? +
Type 1 Excludes (never code together with D72.825): confirmed infection - code to infection; leukemia (C91.-, C92.-, C93.-, C94.-, C95.-)
What ICD-9 codes does D72.825 map to? +
Per CMS GEMs, D72.825 maps to ICD-9 codes: 28866. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 18, 2026.
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