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FY2027 ICD-10-CM reference

D89: Other disorders involving the immune mechanism, not elsewhere classified

By the HCC Buddy Coding Team

The official ICD-10-CM descriptor is Other disorders involving the immune mechanism, not elsewhere classified. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Nonbillable heading. Verified against the official FY2027 order file.

CMS-HCC V28

Not applicable to this nonbillable heading

CMS-HCC V24

Not applicable to this nonbillable heading

ESRD

Not applicable to this nonbillable heading

PACE

Not applicable to this nonbillable heading

RxHCC

Not applicable to this nonbillable heading

HHS-HCC

Not applicable to this nonbillable heading

More specific FY2027 codes

FY2027 Tabular instructions

Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.

Excludes2

autoimmune disease (systemic) NOS (M35.9)

Source: D50-D89 (chapter, inherited).

Excludes2

certain conditions originating in the perinatal period (P00-P96)

Source: D50-D89 (chapter, inherited).

Excludes2

complications of pregnancy, childbirth and the puerperium (O00-O9A)

Source: D50-D89 (chapter, inherited).

Excludes2

congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

Source: D50-D89 (chapter, inherited).

Excludes2

endocrine, nutritional and metabolic diseases (E00-E88)

Source: D50-D89 (chapter, inherited).

Excludes2

human immunodeficiency virus [HIV] disease (B20)

Source: D50-D89 (chapter, inherited).

Excludes2

injury, poisoning and certain other consequences of external causes (S00-T88)

Source: D50-D89 (chapter, inherited).

Excludes2

neoplasms (C00-D49)

Source: D50-D89 (chapter, inherited).

Excludes2

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Source: D50-D89 (chapter, inherited).

Includes

defects in the complement system

Source: D80-D89 (section, inherited).

Includes

immunodeficiency disorders, except human immunodeficiency virus [HIV] disease

Source: D80-D89 (section, inherited).

Includes

sarcoidosis

Source: D80-D89 (section, inherited).

Excludes1

autoimmune disease (systemic) NOS (M35.9)

Source: D80-D89 (section, inherited).

Excludes1

functional disorders of polymorphonuclear neutrophils (D71-)

Source: D80-D89 (section, inherited).

Excludes2

human immunodeficiency virus [HIV] disease (B20)

Source: D80-D89 (section, inherited).

Excludes1

hyperglobulinemia NOS (R77.1)

Source: D89 (category, direct).

Excludes1

monoclonal gammopathy (of undetermined significance) (D47.2)

Source: D89 (category, direct).

Excludes2

transplant failure and rejection (T86.-)

Source: D89 (category, direct).

Source: CMS FY2027 Tabular List and Alphabetic Index.

Open Tabular instructions and code details

Compare the FY2027 additions, removals and billable-status changes

What does D89 mean in FY2027?

The official ICD-10-CM descriptor is Other disorders involving the immune mechanism, not elsewhere classified. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Is D89 billable in FY2027?

The FY2027 order file marks D89 as a nonbillable heading. Select a complete billable child code.

Does D89 map to an HCC?

Risk-model mapping is not applicable to this nonbillable heading. Check a complete billable child code.

Source: CMS FY2027 ICD-10-CM order file. Payment model: CMS CY 2027 Rate Announcement. Read the FY2027 Official Guidelines.

Review the FY2026 April edition