{"code":"D89.812","type":"code","title":"Acute on chronic graft-versus-host disease","codeAlso":[],"includes":["defects in the complement system","immunodeficiency disorders, except human immunodeficiency virus [HIV] disease","sarcoidosis"],"modern_v":"official26","codeFirst":["underlying cause, such as:","complications of transplanted organs and tissue (T86.-)","complications of blood transfusion (T80.89)"],"excludes1":["hyperglobulinemia NOS (R77.1)","monoclonal gammopathy (of undetermined significance) (D47.2)","autoimmune disease (systemic) NOS (M35.9)","functional disorders of polymorphonuclear neutrophils (D71-)"],"excludes2":["transplant failure and rejection (T86.-)","human immunodeficiency virus [HIV] disease (B20)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"inclusionTerms":[],"useAdditionalCode":["code to identify associated manifestations, such as:","desquamative dermatitis (L30.8)","diarrhea (R19.7)","elevated bilirubin (R17)","hair loss (L65.9)"],"clinicalDefinition":"Acute on chronic graft-versus-host disease is a billable ICD-10-CM diagnosis code (D89.812). Includes: defects in the complement system; immunodeficiency disorders, except human immunodeficiency virus [HIV] disease; sarcoidosis. Excludes1 (not coded here): hyperglobulinemia NOS (R77.1); monoclonal gammopathy (of undetermined significance) (D47.2); autoimmune disease (systemic) NOS (M35.","officialDefinition":"Acute on chronic graft-versus-host disease is a billable ICD-10-CM diagnosis code (D89.812). Includes: defects in the complement system; immunodeficiency disorders, except human immunodeficiency virus [HIV] disease; sarcoidosis. Excludes1 (not coded here): hyperglobulinemia NOS (R77.1); monoclonal gammopathy (of undetermined significance) (D47.2); autoimmune disease (systemic) NOS (M35.9); functional disorders of polymorphonuclear neutrophils (D71-); human immunodeficiency virus [HIV] disease (B20). Excludes2 (not included here): transplant failure and rejection (T86.-). Code first: underlying cause, such as:; complications of transplanted organs and tissue (T86.-); complications of blood transfusion (T80.89). Use additional code: code to identify associated manifestations, such as:; desquamative dermatitis (L30.8); diarrhea (R19.7); elevated bilirubin (R17); hair loss (L65.9).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}