ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 D81

Non-Billable Header

Combined immunodeficiencies

D81
Block
0
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM D81

ICD-10-CM code D81 represents Combined immunodeficiencies. This is a non-billable header code in the Blood and Blood-forming Organs chapter (block D81). The 2026 edition of ICD-10-CM D81 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Type 1 Excludes

Pure excludes, these codes can never be coded together with D81. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

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

Medicare LCD Coverage for D81

Local Coverage Determinations (LCDs) from CMS MACs that list D81 as a covered diagnosis.

No Medicare LCDs reference D81 as covered

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 D81.

No commercial payer policies reference D81 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but D81 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with D81

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for D81

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.

ICD-10 D81, Billing FAQ

Is ICD-10 code D81 billable? +

No, D81 is a non-billable header code. Use a more specific child code from block D81 when submitting claims.

What codes are Type 1 Excludes for D81? +

Type 1 Excludes (never code together with D81): autosomal recessive agammaglobulinemia (Swiss type) (D80.0)

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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