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Neutropenia is classified as mild, moderate, or severe, based on the ANC. Mild neutropenia is present when the ANC is 1000-1500 cells/ÂµL, moderate neutropenia is present with an ANC of 500-1000/ÂµL, and severe neutropenia refers to an ANC lower than 500 cells/ÂµL. The risk of bacterial infection is related to both the severity and duration of the neutropenia.
CPT codes: There is no consensus on the correct code to use. Some use: 64530 (Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring). 64999 (Unlisted procedure, nervous system) and submit documentation of medical necessity. **64520 (Injection, anesthetic agent; lumbar or thoracic paravertebral sympathetic). This one seems the most appropriate, as the sacral sympathetic plexus is just the caudal extension from this lumbar region.