ICD-10 Coding for Colony-Stimulating Factor(D70.1, J2505)
Complete ICD-10-CM coding and documentation guide for Colony-Stimulating Factor. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Colony-Stimulating Factor
D70-D77Primary Range
Other disorders of blood and blood-forming organs
Includes codes for neutropenia and related conditions treated with CSFs.
Drugs used for colony-stimulating factor administration
Includes specific codes for different CSF agents like filgrastim and pegfilgrastim.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D70.1 | Agranulocytosis secondary to cancer chemotherapy | Use when neutropenia is a result of chemotherapy treatment. |
|
| J2505 | Injection, pegfilgrastim, 6 mg | Use for prophylactic administration post-chemotherapy. |
|
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 Colony-Stimulating Factor
Primary ICD-10-CM Codes for colony-stimulating factor
Decision Criteria
clinical Criteria
- ANC < 500/mm³ post-chemotherapy
Applicable To
- Chemotherapy-induced neutropenia
Excludes
- Neutropenia due to other causes
Clinical Validation Requirements
- ANC < 500/mm³
- Chemotherapy regimen documentation
Code-Specific Risks
- Incorrect sequencing with primary malignancy codes
Coding Notes
- Ensure proper sequencing with cancer codes.
J2505 - Injection, pegfilgrastim, 6 mg
Use for prophylactic administration post-chemotherapy.
Applicable To
- Pegfilgrastim administration
Excludes
- Non-chemotherapy related use
Clinical Validation Requirements
- Documented use post-chemotherapy
- Prophylactic use for neutropenia
Coding Notes
Ensure linkage to chemotherapy regimen.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Colony-Stimulating Factor to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D70.1.
Impact
Clinical: Inadequate justification for CSF use., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Include ANC values in all CSF-related documentation, Use standardized templates
Impact
Reimbursement: May result in claim denials or reduced payment., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always sequence underlying malignancy first, followed by neutropenia and CSF administration codes.
Impact
Inadequate documentation of CSF use can lead to audit findings.
Mitigation Strategy
Use detailed templates and ensure all required elements are documented.
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 Colony-Stimulating Factor, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Colony-Stimulating Factor
Use these documentation templates to ensure complete and accurate documentation for Colony-Stimulating Factor. These templates include all required elements for proper coding and billing.
CSF administration post-chemotherapy
Specialty: OncologyRequired Elements
- Indication for CSF
- Agent and dosage
- Timing post-chemotherapy
- ANC values
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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