Version 2024
No Valid Principal Dx

2024 ICD-10-CM Diagnosis Code R89.4

Abnormal immunological findings in specimens from other organs, systems and tissues

ICD-10-CM Code:
R89.4
ICD-10 Code for:
Abnormal immunolog findings in specimens from oth org/tiss
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
    (R00–R99)
    • Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis
      (R83-R89)
      • Abnormal findings in specimens from other organs, systems and tissues
        (R89)

R89.4 is a billable diagnosis code used to specify a medical diagnosis of abnormal immunological findings in specimens from other organs, systems and tissues. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Abnormal blood test
  • Adrenal antibodies present
  • Anergy
  • Antibody to extractable nuclear antigen detected
  • Antineutrophil cytoplasmic antibody detected
  • Anti-nuclear factor detected
  • Anti-nuclear factor detected
  • Bence Jones protein detected
  • Clonal anergy
  • Complement level below reference range
  • Contact sensitivity response - finding
  • Delayed hypersensitivity skin test for histoplasmin positive
  • Finding of Heaf test
  • Finding of Heaf test
  • Finding of Heaf test
  • Finding of Heaf test
  • Finding of Heaf test
  • Finding of Heaf test
  • Flare reaction
  • Free immunoglobulin light chain above reference range
  • Heaf test grade 1
  • Heaf test grade 1-2
  • Heaf test grade 2
  • Heaf test grade 3
  • Heaf test grade 4
  • Heaf: positive
  • HLA-A*31:01 detected
  • HLA-B*15:02 detected
  • HLA-B*57:01 detected
  • HLA-B*58:01 positive
  • Horse erythrocyte antigen test positive
  • Human leukocyte antigen B5701 detected
  • Human leukocyte antigen DQB1*02:02 positive
  • Immunoglobulin above reference range
  • Immunoglobulin below reference range
  • Immunoglobulins outside reference range
  • Interferon gamma assay positive
  • Interferon gamma assay result indeterminate
  • Irregular blood group antibody detected
  • Kveim test positive
  • La antibody detected
  • Local untoward skin test reaction
  • Loss of normal antigens
  • Lyme detected by enzyme-linked immunosorbent assay
  • Lyme detected by immunoblot
  • Mitochondrial antibodies detected
  • Mitochondrial antibodies weakly detected
  • Monoclonal abnormal heavy chain protein devoid of light chains detected
  • Monoclonal abnormal heavy chain protein devoid of light chains detected
  • Monoclonal abnormal heavy chain protein devoid of light chains detected
  • Monoclonal alpha heavy chain detected
  • Monoclonal free kappa light chain detected
  • Monoclonal free lambda light chain detected
  • Monoclonal free light chain detected
  • Monoclonal gamma heavy chain detected
  • Monoclonal immunoglobulin A detected
  • Monoclonal immunoglobulin D detected
  • Monoclonal immunoglobulin E detected
  • Monoclonal immunoglobulin G detected
  • Monoclonal immunoglobulin M detected
  • Monoclonal mu heavy chain detected
  • Paraprotein detected
  • Plasma membrane antigenic alteration
  • Ribonucleoprotein antibody detected
  • Ro antibody detected
  • Sample contains cold agglutinins
  • Serum monoclonal band present
  • Skin reaction - finding
  • Skin reaction - finding
  • Skin reaction extreme
  • Skin reaction strong
  • Skin test reaction conversion
  • Sm antibody detected
  • Smooth muscle antibodies detected
  • Smooth muscle antibodies weakly detected
  • Susceptibility skin test abnormal
  • Susceptibility to sarcoid response - finding
  • Systemic untoward skin test reaction
  • Target cell of immunologic reaction
  • Untoward skin test reaction
  • Zika virus IgM antibody detected

Clinical Classification

Clinical Information

  • Clonal Anergy

    functional inactivation of t- or b-lymphocytes rendering them incapable of eliciting an immune response to antigen. this occurs through different mechanisms in the two kinds of lymphocytes and can contribute to self tolerance.
  • Self Tolerance

    the normal lack of the ability to produce an immunological response to autologous (self) antigens. a breakdown of self tolerance leads to autoimmune diseases. the ability to recognize the difference between self and non-self is the prime function of the immune system.

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Convert R89.4 to ICD-9-CM

  • ICD-9-CM Code: 792.9 - Abn find-body subst NEC
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.