ICD-10 Coding for Neutropenia(D70.0, D70.1, D70.3)
Complete ICD-10-CM coding and documentation guide for Neutropenia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Neutropenia
D70.0-D70.9Primary Range
Neutropenia and related conditions
This range includes all forms of neutropenia, specifying different causes and severities.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D70.0 | Agranulocytosis | Use when agranulocytosis is confirmed by lab tests and clinical evaluation. |
|
| D70.1 | Agranulocytosis secondary to chemotherapy | Use when neutropenia is a direct result of chemotherapy treatment. |
|
| D70.3 | Neutropenia due to infection | Use when neutropenia is caused by an infectious process. |
|
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 chemotherapy-induced neutropenia
Essential facts and insights about Neutropenia
Primary ICD-10-CM Codes for neutropenia
Decision Criteria
clinical Criteria
- ANC <500/μL confirmed by CBC
documentation Criteria
- Bone marrow biopsy results included
Applicable To
- Agranulocytosis due to drugs
- Agranulocytosis due to infection
Excludes
- Neutropenia due to chemotherapy (D70.1)
Clinical Validation Requirements
- ANC <500/μL
- Bone marrow biopsy showing agranulocytosis
Code-Specific Risks
- Misclassification if not confirmed by lab results
Coding Notes
- Ensure documentation specifies agranulocytosis and any underlying causes.
D70.1 - Agranulocytosis secondary to chemotherapy
Use when neutropenia is a direct result of chemotherapy treatment.
Applicable To
- Neutropenia due to chemotherapy
Excludes
- Agranulocytosis due to other drugs (D70.0)
Clinical Validation Requirements
- ANC <500/μL post-chemotherapy
- Documented chemotherapy regimen
Coding Notes
Ensure chemotherapy is documented as the cause of neutropenia.
D70.3 - Neutropenia due to infection
Use when neutropenia is caused by an infectious process.
Applicable To
- Neutropenia secondary to sepsis
Excludes
- Neutropenia due to chemotherapy (D70.1)
Clinical Validation Requirements
- ANC <500/μL with positive infection culture
Coding Notes
Ensure infection is documented as the cause of neutropenia.
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 Neutropenia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D70.0.
Impact
Clinical: Misleading clinical picture, Regulatory: Non-compliance with coding standards, Financial: Potential loss of reimbursement
Mitigation Strategy
Ensure chemotherapy details are included in patient records, Regular audits of oncology documentation
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health data.
Mitigation Strategy
Ensure documentation supports the most specific code available.
Impact
High risk of audit if unspecified codes are used without justification.
Mitigation Strategy
Ensure all documentation supports the most specific code available.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Neutropenia
Use these documentation templates to ensure complete and accurate documentation for Neutropenia. These templates include all required elements for proper coding and billing.
Chemotherapy patient with neutropenia
Specialty: OncologyRequired Elements
- ANC levels
- Chemotherapy regimen
- Infection signs
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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