2027 ICD-10-CM Diagnosis Code D70.3Neutropenia due to infection

ICD-10-CM Codes›D50–D89›D70-D77›D70

ICD-10-CM D70.3
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

D70.3 is a billable ICD-10-CM diagnosis code for neutropenia due to infection. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 808 through 810. Coders also document this condition as agranulocytosis. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Diseases of white blood cells.

D70.3 no longer risk-adjusts for Medicare Advantage: it mapped to HCC 47 under the retired CMS-HCC V24 model through payment year 2025 but maps to no category in the live V28 model. It still risk-adjusts in the PACE (CMS-HCC V22) category 47, ESRD (V21) category 47, and ESRD (V24) category 47 for payment year 2027.

Code Identity

ICD-10-CM Code
D70.3
Billable Status
Yes — Valid for Submission
Code Describes
Neutropenia due to infection
Short Description
Neutropenia due to infection
Same as the full description in the CMS dataset.
Parent Code
Neutropenia

Code Classification

ChapterD50–D89Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
SectionD70-D77Other disorders of blood and blood-forming organs
CategoryD70Neutropenia
This CodeD70.3Neutropenia due to infection

Medicare Risk Adjustment (HCC)Billing

D70.3 no longer risk-adjusts for Medicare Advantage: it maps to no payment category in the live CMS-HCC V28 model, although it still risk-adjusts in the other CMS models shown below.

CMS-HCC V28 (Medicare Advantage Payment Model)
Not mapped
Dropped in V28 see all codes that no longer risk-adjust
Prior Model (CMS-HCC V24)
HCC 47
V24 retired last contributed to a Medicare Advantage risk score in payment year 2025
Other CMS Models
PACE (CMS-HCC V22): HCC 47 · ESRD (V21): HCC 47 · ESRD (V24): HCC 47
ESRD V21 weights: 0.097 dialysis, 0.549–0.688 functioning graft · ESRD V24 weights: 0.078 dialysis, 0.523–0.803 functioning graft
Part D (RxHCC)
Not mapped
D70.3 does not risk-adjust in the RxHCC prescription drug model

Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Agranulocytosis
  • Agranulocytosis co-occurrent with human immunodeficiency virus infection
  • Blood eosinophil number below reference range
  • Disorder of eosinophil
  • Eosinopenia
  • Eosinopenia due to infectious disease
  • Neutropenia associated with infectious disease
  • Neutropenic sepsis

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to D70.3: its own notes plus those printed at D70 and Chapter 3. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From D70 Neutropenia applies to 7 codes
  • agranulocytosis
  • decreased absolute neurophile count (ANC)

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From D70 Neutropenia applies to 7 codes
  • neutropenic splenomegaly (D73.81)
  • transient neonatal neutropenia (P61.5)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 3 (D50-D89) Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism applies to 324 codes
  • autoimmune disease (systemic) NOS (M35.9)
  • certain conditions originating in the perinatal period (P00-P96)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • human immunodeficiency virus [HIV] disease (B20)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From D70 Neutropenia applies to 7 codes
  • code for any associated:
  • fever (R50.81)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From D70 Neutropenia applies to 7 codes

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name D70.3, its category, or a range that includes it.

Excludes2 4

These codes carry an Excludes2 note naming D70.3: its condition is not part of those codes, and both may be reported when the patient has both.

  • D61 Other aplastic anemias and other bone marrow failure syndromes
    neutropenia (D70.-) names D70.-, which includes this code
  • D72 Other disorders of white blood cells
    neutropenia (D70) names D70, which includes this code
  • D72.81 Decreased white blood cell count
    neutropenia (D70) names D70, which includes this code
  • Block R70-R79 Abnormal findings on examination of blood, without diagnosis
    abnormalities of white blood cells classified elsewhere (D70-D72) names D70-D72, which includes this code

Code First 1

These codes say to code first a condition named in the note, and D70.3 is one of the conditions named.

  • R50.81 Fever presenting with conditions classified elsewhere
    neutropenia (D70.-) names D70.-, which includes this code

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR BLD007
Diseases of white blood cells
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Neutropenia

    a decrease in the number of neutrophils found in the blood.

Patient EducationClinical

Blood Disorders

Your blood is living tissue made up of liquid and solids. The liquid part, called plasma, is made of water, salts and protein. Over half of your blood is plasma. The solid part of your blood contains red blood cells, white blood cells and platelets.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert D70.3 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
288.04 Neutropenia d/t infectn
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About D70.3Overview

What is the ICD-10 code for neutropenia due to infection?

The ICD-10-CM code for neutropenia due to infection is D70.3 (sometimes written as D703). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is D70.3 (Neutropenia) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report neutropenia due to infection on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does D70.3 group to?

When neutropenia due to infection is the principal diagnosis on an inpatient stay, it groups to MS-DRG 808, 809, 810, with relative weights from 1.0749 to 2.1706 depending on complications. Higher weights mean higher Medicare reimbursement.

Can D70.3 be reported with D73.81?

Not as a rule. The Excludes1 note at D70, which applies to D70.3, lists "neutropenic splenomegaly (D73.81)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

Does D70.3 need an additional code?

When the condition applies, yes. The Use Additional Code note at D70, which applies to D70.3, reads: code for any associated: fever (R50.81). The additional code is reported after D70.3.

Does D70.3 risk-adjust for Medicare Advantage payment?

Not for Medicare Advantage. D70.3 mapped to HCC 47 in the retired CMS-HCC V24 model, which last determined payment in 2025, but it maps to no category in the live V28 model; see all codes that no longer risk-adjust. It still risk-adjusts in the PACE (CMS-HCC V22) category 47 (Disorders of Immunity), ESRD (V21) category 47 (Disorders of Immunity), and ESRD (V24) category 47 (Disorders of Immunity).