Agranulocytosis and Neutropenia in ICD 10

Mirandab

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Sioux Falls, SD
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Hello, I am not finding a whole lot of direction regarding coding Neutropenic Fever vs Agranulocytosis presenting in patient with known malignancy having had recent chemotherapy. Can the relationship be assumed between chemotherapy and the Neutropenic Fever or does my provider need to tell me that it is related? At what point does Neutropenic Fever become Agranulocytosis? Is it only after my provider links the fever to the chemotheraphy or how does Agranulocytosis fit into the picture? Any advice or resource links are very much appreciated!
 

rachaelwilleford

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Local Chapter Officer
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Carencro, LA
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A patient can have chemo induced neutropenia without a fever, or a fever not related to the neutropenia (as patients can be susceptible to infection on some chemotherapies). When coding febrile neutropenia, the fever, the related neutropenia, and an adverse effect code are all coded. Doctor would need to specify whether the neutropenia is chemotherapy induced and whether the fever is related to the neutropenia.
 
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