ICD-10 Coding for Neutropenic Sepsis(A41.9, D70.1)
Complete ICD-10-CM coding and documentation guide for Neutropenic Sepsis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Neutropenic Sepsis
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| A41.9 | Sepsis, unspecified organism | Use when sepsis is confirmed without a specified organism. |
|
| D70.1 | Agranulocytosis secondary to cancer chemotherapy | Use when neutropenia is due to recent 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 neutropenic sepsis
Essential facts and insights about Neutropenic Sepsis
Primary ICD-10-CM Codes for neutropenic sepsis
Decision Criteria
clinical Criteria
- Presence of SIRS criteria with neutropenia.
Clinical Validation Requirements
- Neutrophil count ≤0.5 ×10⁹/L
- Temperature ≥38°C or <36°C
- Signs of systemic inflammatory response
Code-Specific Risks
- Overuse of unspecified code when specific organism is documented.
Coding Notes
- Always sequence A41.9 before neutropenia codes.
D70.1 - Agranulocytosis secondary to cancer chemotherapy
Use when neutropenia is due to recent chemotherapy.
Applicable To
- Chemotherapy-induced neutropenia
Excludes
- Neutropenia NOS (D70.9)
Clinical Validation Requirements
- Recent chemotherapy within 21 days
- Neutrophil count ≤0.5 ×10⁹/L
Coding Notes
Ensure chemotherapy dates are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Severe sepsis without septic shock
R65.20Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Neutropenic Sepsis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code A41.9.
Impact
Clinical: May lead to incorrect diagnosis of neutropenia cause., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Ensure chemotherapy dates are included in the patient's history.
Impact
Reimbursement: May lead to lower DRG and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient severity.
Mitigation Strategy
Always code A41.9 first, followed by the infection code.
Impact
Incorrect sequencing of sepsis and neutropenia codes.
Mitigation Strategy
Regular training on ICD-10 coding guidelines.
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 Neutropenic Sepsis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Neutropenic Sepsis
Use these documentation templates to ensure complete and accurate documentation for Neutropenic Sepsis. These templates include all required elements for proper coding and billing.
Oncology patient with febrile neutropenia
Specialty: OncologyRequired Elements
- Patient's temperature
- Neutrophil count
- Chemotherapy dates
- Infection source
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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