CMS released a transmittal updating coverage of intravenous immune globulin for treatment of primary immune deficiency diseases in the home.
 
Transmittal 259 and Change Request 11295 detail the changes effective for dates of service on or after Aug. 13, 2019.
 
Coverage is updated to include the following ICD-10-CM codes:
  • G11.3 (Cerebellar ataxia with defective DNA repair);
  • D80.0 (Hereditary hypogammaglobulinemia[KD1] );
  • 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]);
  • D80.5 (Immunodeficiency with increased immunoglobulin M [IgM]);
  • D80.6 (Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinemia);
  • D80.7 (Transient hypogammaglobulinemia of infancy);
  • D81.0 (Severe combined immunodeficiency [SCID] with reticular dysgenesis);
  • D81.1 (Severe combined immunodeficiency [SCID] with low T- and B-cell numbers);
  • D81.2 (Severe combined immunodeficiency [SCID] with low or normal B-cell numbers);
  • D81.5 (urine nucleoside phosphorylase [PNP] deficiency);
  • D81.6 (Major histocompatibility complex class I deficiency);
  • D81.7 (Major histocompatibility complex class II deficiency);
  • D81.89 (Other combined immunodeficiencies);
  • D81.9 (Combined immunodeficiency, unspecified);
  • D82.0 (Wiskott-Aldrich syndrome);
  • D82.1 (Di George's syndrome);
  • D82.4 (Hyperimmunoglobulin E [IgE] syndrome);
  • D83.0 (Common variable immunodeficiency with predominant abnormalities of B-cell numbers and function);
  • D83.1 (Common variable immunodeficiency with predominant immunoregulatory T-cell disorders);
  • D83.2 (Common variable immunodeficiency with autoantibodies to B- or T-cells);
  • D83.8 (Other common variable immunodeficiencies); and
  • D83.9 (Common variable immunodeficiency, unspecified) if only an unspecified diagnosis is necessary.
Related link: View the transmittal at http://go.cms.gov/2GJ5ICx.