ICD-10 Coding for Febrile Neutropenia(D70.9, D70.1, R50.81)
Complete ICD-10-CM coding and documentation guide for Febrile Neutropenia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Febrile Neutropenia
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D70.9 | Neutropenia, unspecified | Use when neutropenia is present without a specified cause. |
|
| D70.1 | Agranulocytosis secondary to chemotherapy | Use when neutropenia is directly linked to chemotherapy. |
|
| R50.81 | Fever presenting with conditions classified elsewhere | Use when fever is present with neutropenia. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for febrile neutropenia
Essential facts and insights about Febrile Neutropenia
Primary ICD-10-CM Codes for febrile neutropenia
Decision Criteria
clinical Criteria
- ANC <1,500/mm³ without a specified cause
Applicable To
- Unspecified neutropenia
Excludes
- Agranulocytosis (D70.1)
Clinical Validation Requirements
- ANC <1,500/mm³ without documented cause
Code-Specific Risks
- Risk of under-documenting the cause of neutropenia.
Coding Notes
- Ensure documentation specifies if neutropenia is chemotherapy-induced.
D70.1 - Agranulocytosis secondary to chemotherapy
Use when neutropenia is directly linked to chemotherapy.
Applicable To
- Chemotherapy-induced neutropenia
Excludes
- Neutropenia, unspecified (D70.9)
Clinical Validation Requirements
- ANC <500/mm³ with recent chemotherapy
Coding Notes
Sequence before R50.81 when fever is present.
R50.81 - Fever presenting with conditions classified elsewhere
Use when fever is present with neutropenia.
Applicable To
- Fever with neutropenia
Excludes
- Drug-induced fever (R50.2)
Clinical Validation Requirements
- Temperature ≥38.3°C with ANC <1,000/mm³
Coding Notes
Always secondary to a neutropenia code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Febrile Neutropenia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D70.9.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure cause of neutropenia is documented.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on treatment outcomes.
Mitigation Strategy
Use D70.1 if neutropenia is due to chemotherapy.
Impact
Reimbursement: May affect DRG assignment and reimbursement., Compliance: Failure to comply with coding standards., Data Quality: Incomplete clinical data representation.
Mitigation Strategy
Use R50.81 to indicate fever with neutropenia.
Impact
Risk of coding neutropenia without specifying cause.
Mitigation Strategy
Ensure detailed documentation of chemotherapy and ANC.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Febrile Neutropenia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Febrile Neutropenia
Use these documentation templates to ensure complete and accurate documentation for Febrile Neutropenia. These templates include all required elements for proper coding and billing.
Febrile neutropenia in oncology
Specialty: OncologyRequired Elements
- ANC values
- Temperature readings
- Chemotherapy details
- Infection status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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