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.

Check D70.4 with the rest of the claim: free scrubber

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

A category’s note binds every code beneath it.

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. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

D70.4 is named in 21 Medicare coverage policies: 21 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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

Alphabetic index entries that lead here

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

Code history

Unchanged in every release from FY2024 to FY2027.