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D72.825
ICD-10-CM
Increased Neutrophils

Understanding increased neutrophils? This resource provides information on neutrophilia, high neutrophil count, causes of elevated neutrophils, neutrophil blood test interpretation, and clinical significance. Explore related medical coding terms, ICD-10 codes for neutrophilia, laboratory findings documentation, and best practices for healthcare professionals regarding neutrophil elevation. Learn about differential diagnosis, treatment considerations, and when to seek medical advice for high neutrophils.

Also known as

Neutrophilia
Elevated Neutrophil Count

Diagnosis Snapshot

Key Facts
  • Definition : High neutrophil count, often indicating an active infection or inflammation.
  • Clinical Signs : Fever, localized pain, swelling, redness, pus formation. May be asymptomatic.
  • Common Settings : Bacterial infections, tissue injury, autoimmune disorders, certain cancers.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC D72.825 Coding
D72.820

Neutrophilia

Increased neutrophils in the blood.

R79.89

Other abnormal findings

Includes abnormal blood findings like increased neutrophils if no other cause found.

D72.9

Other disorders of white blood cells

May encompass neutrophilia if not otherwise specified.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is neutrophilia due to an underlying condition?

  • Yes

    Is the condition documented?

  • No

    Is it drug induced?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Increased Neutrophils
Neutrophilia
Leukocytosis

Documentation Best Practices

Documentation Checklist
  • Neutrophilia diagnosis: Document absolute neutrophil count (ANC).
  • Specify neutrophil percentage and reference range.
  • Document symptom onset, duration, and severity.
  • Rule out infection, inflammation, or malignancy. Document related tests.
  • Correlate findings with clinical picture and other lab results.

Coding and Audit Risks

Common Risks
  • Unspecified Neutrophilia

    Coding neutrophilia without specifying cause (e.g., infection, medication) leads to inaccurate reporting and potential DRG misclassification.

  • Missed Underlying Cause

    Focusing solely on increased neutrophils without coding the underlying diagnosis (e.g., pneumonia) impacts quality metrics and reimbursement.

  • Relative vs. Absolute Count

    Coding based on relative neutrophil percentage without considering absolute neutrophil count (ANC) may misrepresent clinical severity and treatment necessity.

Mitigation Tips

Best Practices
  • Document infection site, severity, and type for accurate ICD-10 coding.
  • Query physician for cause of neutrophilia to improve CDI specificity.
  • Review medication list for neutrophil-inducing drugs; adhere to compliance rules.
  • Correlate neutrophil count with other labs (e.g., WBC, CRP) for precise diagnosis.
  • Monitor patient for signs/symptoms of infection; document changes promptly for compliant billing.

Clinical Decision Support

Checklist
  • Review CBC: Confirm neutrophil count elevation
  • Assess infection signs: Fever, localized symptoms?
  • Check medication list: Corticosteroids, G-CSF?
  • Consider other causes: Inflammation, stress, trauma?
  • Document cause of neutrophilia: ICD-10 R70.0

Reimbursement and Quality Metrics

Impact Summary
  • Increased neutrophils reimbursement impact depends on underlying cause and associated diagnoses coded. Accurate ICD-10 coding like R70.0 crucial for maximizing reimbursement.
  • Coding quality directly impacts neutrophil-related claims. Correctly coding infection or inflammation alongside R70.0 ensures appropriate payment and reduces denials.
  • Neutrophilia reporting affects hospital quality metrics related to infection control and patient safety. Accurate documentation and coding essential for performance tracking.
  • DRG assignment for increased neutrophils influenced by principal diagnosis. Accurate coding impacts hospital reimbursement and case mix index.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Neutrophilia code: use specific cause
  • Document neutrophil count and %
  • R/O infection: code underlying cause
  • Consider drug-induced neutrophilia
  • Left shift? Specify band neutrophils

Documentation Templates

Patient presents with neutrophilia, demonstrating an elevated absolute neutrophil count (ANC) above the age-adjusted normal range.  Differential diagnosis includes infection (bacterial, fungal, viral), inflammation (acute, chronic), tissue necrosis (e.g., myocardial infarction, burns), malignancy (leukemia, lymphoma), drug-induced neutrophilia (corticosteroids, G-CSF), stress response, and physiological variations.  Clinical evaluation includes review of symptoms (fever, chills, localized pain, fatigue), physical examination findings, complete blood count with differential, and peripheral blood smear review.  Assessment focuses on identifying the underlying cause of the increased neutrophils.  Current symptoms and medical history, including recent medications, surgeries, and exposures, are pertinent to the diagnostic workup.  Further investigations may include blood cultures, imaging studies (X-ray, CT scan, ultrasound), bone marrow biopsy, and specific tests based on suspected etiology.  Treatment is directed at the underlying cause of the neutrophilia.  Monitoring the neutrophil count is crucial for assessing response to therapy.  ICD-10 codes for elevated neutrophils, such as D72.829 (Other specified disorders involving neutrophils) or associated conditions, will be used for coding and billing purposes.  Patient education regarding signs and symptoms of infection and importance of follow-up is essential. The plan includes ongoing monitoring of ANC and further investigations as clinically indicated.