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D71 vs D89.835

D71 (Functional disorders of polymorphonuclear neutrophils) compared with D89.835 (Cytokine release syndrome, grade 5), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. D89.835 carries an Excludes1 note covering D71: “functional disorders of polymorphonuclear neutrophils (D71-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

D71Functional disorders of polymorphonuclear neutrophilsD89.835Cytokine release syndrome, grade 5
Billing statusNon-billable header

Report instead: D71.1, D71.8, D71.9

Billable
ClassificationD50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89)D50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89)
DefinitionFunctional disorders of polymorphonuclear neutrophils is a non-billable ICD-10-CM category code (D71).Cytokine release syndrome, grade 5 is a billable ICD-10-CM diagnosis code (D89.835).
Includes
defects in the complement system
immunodeficiency disorders, except human immunodeficiency virus [HIV] disease
sarcoidosis
Use additional code
code for adverse effect, if applicable, to identify immune checkpoint inhibitors and immunostimulant drugs (T45.AX5)
code to identify associated manifestations
Code first
underlying cause, such as:
complications following infusion, transfusion and therapeutic injection (T80.89-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources