ICD-10 Code D81.32 – Adenosine deaminase 2 deficiency (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Adenosine deaminase 2 deficiency is D81.32.
2026 ICD-10-CM Diagnosis Code D81.32 – Adenosine deaminase 2 deficiency

What it is

D81.32 identifies adenosine deaminase 2 deficiency, a rare inherited immune disorder. It is used when documentation names this specific condition, often linked to systemic inflammation and immune dysfunction.

Clinical signs

Clinical features vary; refer to documentation. Reported findings may include recurrent fevers, vasculitis, strokes, cytopenias, or other inflammatory manifestations consistent with this diagnosis.

When to use this code

Use D81.32 when the provider documents adenosine deaminase 2 deficiency, ADA2 deficiency, or a confirmed diagnosis of DADA2. Code it for encounters focused on this disorder, including evaluation of related inflammatory or vascular complications. If the record only suggests a possible diagnosis, check documentation before coding.

Do not use for

Do not use this code for adenosine deaminase 1 deficiency or other unspecified immunodeficiency disorders. If the chart does not clearly identify ADA2 deficiency, choose a more accurate documented diagnosis.

Coding tip

Verify the exact gene-related diagnosis in the assessment, because similar names refer to different conditions.

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