ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 D70.8

Billable / Specific HCC v28: 47

Other neutropenia

D70
Block
0
Synonyms
629
LCDs
20
Payer Policies
0
Linked CPTs

About ICD-10-CM D70.8

ICD-10-CM code D70.8 represents Other neutropenia. This is a billable/specific code in the Blood and Blood-forming Organs chapter (block D70). The 2026 edition of ICD-10-CM D70.8 became effective on October 1, 2025.

Coding Tips for D70.8

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

D70.8 is a CMS-HCC v28 risk-adjustment code (category 47). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 47
ESRD-HCC
Category 47
RxHCC (Part D)
Category 47

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Medicare LCD Coverage for D70.8

Local Coverage Determinations (LCDs) from CMS MACs that list D70.8 as a covered diagnosis.

629 LCDs

Showing top 10 of 629 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: MolDX: Non-Next Generation Sequencing Targeted Molecular Panel Tests for Predictive Testing in Cancer
Article ID: 60240, Effective: , 680 covered, 0 non-covered
CPT 81479 →
CMS LCD: Billing and Coding: MolDX: Non-Next Generation Sequencing Targeted Molecular Panel Tests for Predictive Testing in Cancer
Article ID: 60309, Effective: , 680 covered, 0 non-covered
CPT 81479 →
CMS LCD: Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
Article ID: 56793, Effective: 2025-08-07 00:00:00, 89 covered, 1 non-covered
CPT 81456 →
CMS LCD: Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
Article ID: 56793, Effective: 2025-08-07 00:00:00, 89 covered, 1 non-covered
CPT 81455 →
CMS LCD: Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
Article ID: 56793, Effective: 2025-08-07 00:00:00, 89 covered, 1 non-covered
CPT 81451 →
CMS LCD: Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
Article ID: 56793, Effective: 2025-08-07 00:00:00, 89 covered, 1 non-covered
CPT 81450 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88189 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86360 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86361 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88187 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D70.8.

20 policies

1 Cigna

Serum Folate and Red Blood Cell Folate Testing - (0567)
Policy ID: MM_0567

5 Medicare

Billing and Coding: Lab: Flow Cytometry
Policy ID: ART-55717
Billing and Coding: Molecular Pathology Procedures
Policy ID: ART-56199
Billing and Coding: Flow Cytometry
Policy ID: ART-56464
Billing and Coding: White Cell Colony Stimulating Factors
Policy ID: ART-56748
Billing and Coding: Intravenous Immune Globulin
Policy ID: ART-56779

1 Aetna

Parenteral Immunoglobulins
Policy ID: CPB-0206

CPT Codes Commonly Billed with D70.8

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for D70.8

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert D70.8 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
D70.8 28809 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 D70.8, Billing FAQ

Is ICD-10 code D70.8 billable? +

Yes, D70.8 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Does D70.8 affect Medicare Advantage HCC risk adjustment? +

Yes. D70.8 maps to CMS-HCC v28 category 47. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What ICD-9 codes does D70.8 map to? +

Per CMS GEMs, D70.8 maps to ICD-9 codes: 28809. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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