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ICD-10 Coding for Neutropenia Due to Chemotherapy(D70.1)

Complete ICD-10-CM coding and documentation guide for Neutropenia Due to Chemotherapy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Chemotherapy-Induced NeutropeniaChemo-Related Neutropeniacinagranulocytosis due to chemotherapy

Related ICD-10 Code Ranges

Complete code families applicable to Neutropenia Due to Chemotherapy

D70-D77Primary Range

Other disorders of blood and blood-forming organs

This range includes codes for neutropenia and related hematological disorders.

Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances

Includes codes for adverse effects of drugs, relevant for chemotherapy-induced conditions.

Key Information: ICD-10 code for neutropenia due to chemotherapy

Essential facts and insights about Neutropenia Due to Chemotherapy

The ICD-10 code for neutropenia due to chemotherapy is D70.1.

Primary ICD-10-CM Code for neutropenia due to chemotherapy

Agranulocytosis secondary to cancer chemotherapy
Billable Code

Decision Criteria

clinical Criteria

  • ANC < 500 cells/µL and recent chemotherapy

documentation Criteria

  • Explicit note of chemotherapy-induced neutropenia

Applicable To

  • Neutropenia due to chemotherapy

Excludes

Clinical Validation Requirements

  • ANC < 500 cells/µL
  • Direct link to chemotherapy administration

Code-Specific Risks

  • Incorrectly using D70.9 when chemotherapy is documented as the cause.

Coding Notes

  • Ensure documentation explicitly links neutropenia to chemotherapy.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Adverse effect of antineoplastic/immunosuppressive drugs

T45.1X5A
Use alongside D70.1 to specify the adverse effect of chemotherapy.

Fever with neutropenia

R50.81
Use when fever is present with neutropenia.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Unspecified neutropenia

D70.9
Use D70.9 only if the cause of neutropenia is not specified.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Neutropenia Due to Chemotherapy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D70.1.

Impact

Clinical: Misrepresentation of patient condition., Regulatory: Non-compliance with coding standards., Financial: Potential denial of claims.

Mitigation Strategy

Educate clinicians on documentation standards., Use templates that prompt for necessary details.

Impact

Reimbursement: Incorrect DRG assignment leading to potential revenue loss., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Ensure documentation specifies chemotherapy as the cause to use D70.1.

Impact

Using unspecified codes when specific codes are applicable.

Mitigation Strategy

Regular training and audits of coding practices.

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 Neutropenia Due to Chemotherapy, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Neutropenia Due to Chemotherapy

Use these documentation templates to ensure complete and accurate documentation for Neutropenia Due to Chemotherapy. These templates include all required elements for proper coding and billing.

Febrile neutropenia post-chemotherapy

Specialty: Oncology

Required Elements

  • ANC value
  • Timing post-chemotherapy
  • Presence of fever
  • Chemotherapy regimen details

Example Documentation

[Date] Assessment: Grade 3 neutropenia (ANC 480 cells/µL) secondary to cycle 2 of paclitaxel/carboplatin for NSCLC. No evidence of infection. Plan: Hold chemotherapy until ANC recovery. Start filgrastim 5 mcg/kg SC daily.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Low white count after chemo.
Good Documentation Example
ANC 450 cells/µL (severe neutropenia) confirmed 8 days after cycle 1 of FOLFOX for colon cancer. No other etiology identified. Patient reports fever (101.3°F).
Explanation
The good example provides specific ANC values, timing, and links to chemotherapy, which are essential for accurate coding.

Need help with ICD-10 coding for Neutropenia Due to Chemotherapy? Ask your questions below.

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