ICD Code D70.9

ICD code D70.9 is a classification used to indicate a diagnosis of neutropenia, unspecified. Neutropenia refers to a condition characterized by an abnormally low count of neutrophils, which are a type of white blood cell essential for fighting off infections. The term "unspecified" means that the specific cause or type of neutropenia has not been determined or documented. This code is used in medical billing and documentation to ensure accurate tracking and management of healthcare services related to this condition.

1. Low Neutrophil Count: The primary criterion for using this ICD code is a confirmed laboratory finding of a low neutrophil count, typically below 1,500 neutrophils per microliter of blood.

2. Recurrent Infections: Patients may present with frequent or unusual infections, particularly bacterial infections, due to the compromised immune system associated with low neutrophil levels.

3. Fever: Persistent or unexplained fever can be a symptom indicating the need for this diagnostic code, as it may suggest an underlying infection or inflammatory process.

4. Mouth Ulcers: The presence of painful sores or ulcers in the mouth can be a symptom associated with neutropenia.

5. Fatigue: Generalized fatigue or weakness may be reported by patients, often due to the body's increased effort to fight infections.

6. Skin Infections: Recurrent or severe skin infections, such as cellulitis or abscesses, may be indicative of neutropenia.

7. Delayed Wound Healing: Patients may experience prolonged healing times for cuts or wounds, which can be a sign of reduced neutrophil activity.

8. Unexplained Weight Loss: Significant and unexplained weight loss can sometimes accompany neutropenia, particularly if chronic infections are present.

9. Bone Pain: Some patients may report bone pain, which can be associated with conditions affecting bone marrow production of neutrophils.

10. History of Chemotherapy or Radiation Therapy: Patients who have undergone treatments that can suppress bone marrow function may be evaluated for neutropenia using this code.

11. Autoimmune Disorders: The presence of autoimmune conditions that can lead to decreased neutrophil production or increased destruction may warrant the use of this code.

12. Medication-Induced Neutropenia: Use this code when neutropenia is suspected to be a side effect of certain medications, such as antibiotics or antipsychotics.

By adhering to these diagnostic criteria and symptoms, healthcare providers can accurately determine when to apply this ICD code in their clinical documentation and billing processes.

For the ICD code D70.9 (Neutropenia, unspecified), the relevant CPT codes that may be applicable for treatment or management include:

1. 85025 - Complete blood count (CBC) with automated differential white blood cell count.

2. 85027 - Complete blood count (CBC), automated (Hgb, Hct, RBC, WBC, and platelet count).

3. 96365 - Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour.

4. 96366 - Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour.

5. 96401 - Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic.

6. 96413 - Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug.

7. 96415 - Chemotherapy administration, intravenous infusion technique; each additional hour.

8. 96372 - Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular.

These CPT codes are commonly associated with the diagnostic and therapeutic procedures that may be performed for patients with neutropenia, unspecified. It is important to note that the selection of CPT codes should be based on the specific services provided and the clinical judgment of the healthcare provider.

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