D89.42

Idiopathic mast cell activation syndrome

Billable / specific

D89.42 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Includes (from D89)

  • defects in the complement system
  • immunodeficiency disorders, except human immunodeficiency virus [HIV] disease
  • sarcoidosis

Excludes1

Not coded here — never report together with this code.

  • aggressive systemic mastocytosis (C96.21) (from D89.4)
  • congenital cutaneous mastocytosis (Q82.2) (from D89.4)
  • (non-congenital) cutaneous mastocytosis (D47.01) (from D89.4)
  • (indolent) systemic mastocytosis (D47.02) (from D89.4)
  • malignant mast cell neoplasm (C96.2-) (from D89.4)
  • malignant mastocytoma (C96.29) (from D89.4)
  • mast cell leukemia (C94.3-) (from D89.4)
  • mast cell sarcoma (C96.22) (from D89.4)
  • mastocytoma NOS (D47.09) (from D89.4)
  • other mast cell neoplasms of uncertain behavior (D47.09) (from D89.4)
  • systemic mastocytosis associated with a clonal hematologic non-mast cell lineage disease (SM-AHNMD) (D47.02) (from D89.4)
  • autoimmune disease (systemic) NOS (M35.9) (from D89)
  • functional disorders of polymorphonuclear neutrophils (D71-) (from D89)
  • hyperglobulinemia NOS (R77.1) (from D89)
  • monoclonal gammopathy (of undetermined significance) (D47.2) (from D89)

Excludes2

Not included here — may be reported together when both conditions exist.

  • autoimmune disease (systemic) NOS (M35.9) (from D89)
  • certain conditions originating in the perinatal period (P00-P96) (from D89)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A) (from D89)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) (from D89)
  • endocrine, nutritional and metabolic diseases (E00-E88) (from D89)
  • human immunodeficiency virus [HIV] disease (B20) (from D89)
  • injury, poisoning and certain other consequences of external causes (S00-T88) (from D89)
  • neoplasms (C00-D49) (from D89)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) (from D89)
  • human immunodeficiency virus [HIV] disease (B20) (from D89)
  • transplant failure and rejection (T86.-) (from D89)

Also known as

  • Activation, mast cell, idiopathic

Parent code

  • D89.4Mast cell activation syndrome and related disordersHeader

Related codes

  • D89.40Mast cell activation, unspecifiedBillable
  • D89.41Monoclonal mast cell activation syndromeBillable
  • D89.43Secondary mast cell activationBillable
  • D89.44Hereditary alpha tryptasemiaBillable
  • D89.49Other mast cell activation disorderBillable

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