Reply To: CIDP diagnosis, Medicare

June 6, 2020 at 10:43 pm

If you have a primary immunodeficiency disease with the ICD-9 diagnosis codes 279.04, 279.05, 279.06, 279.12, or 279.2, your IVIg/SCIg treatment is reimbursed under Medicare Part B. If you or your provider submits the IVIg/SCIg service claim under Part D, it will most likely be denied.

The center for medicare services has transitioned to ICD-10 codes. A converter is here:
https://icd.codes/convert/icd9-to-icd10-cm

ICD-10 code G61.0 may be the code to use when requesting Medicare pay for the treatment. More details here:
https://icd.codes/icd10cm/G610