D70.4Cyclic neutropenia

D70.4 is the ICD-10-CM diagnosis code for Cyclic neutropenia. It belongs to category D70 (neutropenia), block D70-D77 (other disorders of blood and blood-forming organs) and chapter 3 (diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within D70 (neutropenia), D70.4 is specifically for Cyclic neutropenia. Related codes cover congenital agranulocytosis (D70.0), agranulocytosis secondary to cancer chemotherapy (D70.1), other drug-induced agranulocytosis (D70.2), due to infection (D70.3), other neutropenia (D70.8) and unspecified (D70.9).

Use an additional code for any associated: fever (R50.81).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 808 (Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with MCC, relative weight 2.1705), DRG 809 (Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with CC, relative weight 1.2262) and DRG 810 (Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders without CC/MCC, relative weight 1.075), in MDC 16 (Diseases and Disorders of the Blood and Blood Forming Organs and Immunological Disorders), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 288.02 (Cyclic neutropenia).