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ICD-10 Code D70.0 | Congenital agranulocytosis Symptoms, Diagnosis, Billing

Congenital agranulocytosis is a rare genetic disorder characterized by the absence of neutrophils, leading to severe immunodeficiency. This condition is critical as it increases susceptibility to infections, necessitating accurate diagnosis and management. The ICD-10 Code D70.0 facilitates precise documentation, billing, and public health reporting, ensuring that affected individuals receive appropriate care and monitoring.

What is ICD-10 Code D70.0 for Congenital agranulocytosis?

ICD-10 Code D70.0 represents Congenital agranulocytosis, a condition resulting from genetic mutations that impair the production of neutrophils in the bone marrow. This code should be used in clinical documentation and billing when diagnosing patients with this condition, ensuring proper identification of the underlying disease and facilitating appropriate treatment and management strategies.

ICD-10 Code D70.0 – Clinical Definition and Explanation of Congenital agranulocytosis

Congenital agranulocytosis is primarily caused by inherited genetic defects that disrupt normal hematopoiesis, leading to a significant reduction in neutrophil count. This condition requires immediate medical attention due to the heightened risk of severe infections. Early diagnosis and intervention are crucial for improving patient outcomes.

Key Clinical Features:

  • Severe recurrent infections due to neutropenia.
  • Failure to thrive in infants and children.
  • Presence of oral ulcers and skin infections.
  • Family history of hematological disorders.

ICD-10 Code D70.0 for Congenital agranulocytosis – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code D70.0 is utilized to document the patient's symptoms, assessment findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and guiding clinical decision-making.

What Does ICD-10 Code D70.0 for Congenital agranulocytosis Mean in SOAP Notes?

ICD-10 Code D70.0 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of congenital agranulocytosis. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D70.0 – Congenital agranulocytosis

Congenital agranulocytosis often necessitates hospitalization due to the risk of life-threatening infections. Treatment may include specific therapies to manage the condition and prevent complications.

Antibiotic Therapy:

  • First-line: Broad-spectrum antibiotics such as piperacillin-tazobactam, typically for 7-14 days.
  • Alternative: Carbapenems for resistant infections, duration based on clinical response.
  • Consideration of prophylactic antibiotics in severe cases.

Supportive Care:

  • Regular monitoring of blood counts and infection signs.
  • Nutritional support to enhance immune function.
  • Isolation precautions to minimize infection risk.

Infection Control:

  • Strict hand hygiene protocols.
  • Use of masks and gloves during patient care.
  • Avoidance of crowded places, especially during outbreaks.

How to Document Symptoms of Congenital agranulocytosis (ICD-10 D70.0) in SOAP Notes

Subjective:

  • Patient reports recurrent fevers and infections.
  • History of oral ulcers and skin lesions.
  • Family history of similar hematological issues.
  • Patient expresses fatigue and weakness.

Objective:

  • Complete blood count shows severe neutropenia.
  • Physical examination reveals oral thrush and skin infections.
  • Vital signs indicate fever and tachycardia.
  • Bone marrow biopsy confirms absence of neutrophil precursors.
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SOAP Note Guidelines for Diagnosing Congenital agranulocytosis (ICD-10 Code D70.0)

Assessment:

  • Diagnosis: Congenital agranulocytosis, severe neutropenia.
  • ICD-10 Code: D70.0.
  • Triggers: Genetic mutation leading to impaired neutrophil production.
  • Consideration of potential infections and complications.

Plan:

  • Initiate broad-spectrum antibiotic therapy.
  • Schedule regular follow-up appointments for blood monitoring.
  • Educate family on infection prevention strategies.
  • Consider referral to a hematologist for specialized care.

Treatment & Plan Section for ICD-10 Code D70.0 – Congenital agranulocytosis

  • Administer appropriate antibiotics based on culture results.
  • Implement infection control measures in the home and healthcare settings.
  • Monitor blood counts regularly to assess treatment efficacy.
  • Provide education on recognizing signs of infection and when to seek care.

Using ICD-10 Code D70.0 for Congenital agranulocytosis in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings in the Subjective (S) and Objective (O) sections.
  • Utilize D70.0 in billing to reflect the severity and complexity of care provided.
  • Align treatment plans with clinical guidelines to support justified billing.
  • Include relevant CPT codes that correspond to the services rendered.

ICD-10 Code D70.0 in Medical Billing and Insurance for Congenital agranulocytosis

ICD-10 Code D70.0 is crucial for billing in hospital, emergency room, or infectious disease care settings, ensuring accurate representation of the patient's condition.

Billing Notes:

  • Document all relevant clinical findings and treatment plans to support the use of D70.0.
  • Use this code in conjunction with detailed notes on patient history and presenting symptoms.
  • Ensure that all documentation aligns with payer requirements for reimbursement.
  • Highlight any complications or comorbidities that may affect billing.

Common CPT Pairings:

CPT CodeDescription
36415Collection of venous blood by venipuncture.
85025Complete blood count with automated differential.
85027Complete blood count with manual differential.
88305Pathology examination of tissue, including bone marrow biopsy.

Frequently Asked Questions

Common Questions About Using ICD-10 Code D70.0 for Congenital agranulocytosis

What are the common symptoms of congenital agranulocytosis?

Common symptoms include recurrent infections, fever, oral ulcers, and skin lesions. Patients may also experience fatigue and failure to thrive, particularly in infants and children.

How is congenital agranulocytosis diagnosed?

Diagnosis is typically made through blood tests showing severe neutropenia and a bone marrow biopsy confirming the absence of neutrophil precursors. Family history may also provide important diagnostic clues.

What treatment options are available for congenital agranulocytosis?

Treatment includes broad-spectrum antibiotics to manage infections, supportive care to enhance immune function, and regular monitoring of blood counts. In severe cases, hospitalization may be required.

Is congenital agranulocytosis hereditary?

Yes, congenital agranulocytosis is often caused by genetic mutations that affect neutrophil production, making it a hereditary condition that can run in families.

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