Is D70.4 a billable ICD-10-CM code?

Yes. D70.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D70.4 sit in the tabular list?

Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89), in the block Other disorders of blood and blood-forming organs (D70-D77).

What cannot be coded together with D70.4?

D70.4 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above D70.4 (D70) and apply to it just the same.

D70.4

D70.4 — Cyclic neutropenia

Billable / specific codeICD-10-CM

D70.4 is a billable, specific ICD-10-CM code for cyclic neutropenia. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Cyclic hematopoiesis
Periodic neutropenia

Excludes1 inherited from the categories above D70.4

These are not written on D70.4, but they bind it: a note on a category applies to every code beneath it. Billing D70.4 with anything listed here is a denial.

Written on D70 — Neutropenia

neutropenic splenomegaly (D73.81)
transient neonatal neutropenia (P61.5)

Risk adjustment

D70.4 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 115 Specified Immunodeficiencies and White Blood Cell Disorders0.565 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

D70.4 is named in 25 Medicare coverage policies — 25 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A55717Billing and Coding: Lab: Flow Cytometry
A56464Billing and Coding: Flow Cytometry
A56748Billing and Coding: White Cell Colony Stimulating Factors
A57689Billing and Coding: Lab: Flow Cytometry

How D70.4 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D70.4.

Hematopoiesis, cyclic
Agranulocytosis›secondary
Neutropenia, neutropenic›cyclic
Neutropenia, neutropenic›periodic
Neutropenia, neutropenic›secondary(cyclic) (periodic) (splenic)

Code history

D70.4 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share D70. If D70.4 is not quite right, the correct code is usually one of these.

Questions about D70.4

Is D70.4 a billable ICD-10-CM code?: Yes. D70.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D70.4 sit in the tabular list?: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89), in the block Other disorders of blood and blood-forming organs (D70-D77).
What cannot be coded together with D70.4?: D70.4 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above D70.4 (D70) and apply to it just the same.