D89: Other disorders involving the immune mechanism, not elsewhere classified
D89.4: Mast cell activation syndrome and related disorders

excludes1
aggressive systemic mastocytosis (C96.21)
congenital cutaneous mastocytosis (Q82.2)
(non-congenital) cutaneous mastocytosis (D47.01)
(indolent) systemic mastocytosis (D47.02)
malignant mast cell neoplasm (C96.2-)
malignant mastocytoma (C96.29)
mast cell leukemia (C94.3-)
mast cell sarcoma (C96.22)
mastocytoma NOS (D47.09)
other mast cell neoplasms of uncertain behavior (D47.09)
systemic mastocytosis associated with a clonal hematologic non-mast cell lineage disease (SM-AHNMD) (D47.02)
D89.40: Mast cell activation, unspecified
D89.41: Monoclonal mast cell activation syndrome
D89.42: Idiopathic mast cell activation syndrome
D89.43: Secondary mast cell activation
D89.44: Hereditary alpha tryptasemia
D89.49: Other mast cell activation disorder

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