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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.0

C82.0

Billable

Follicular lymphoma grade I

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 C82.0 is a billable code used to indicate a diagnosis of follicular lymphoma grade i.

Key Diagnostic Point:

Follicular lymphoma grade I is a type of non-Hodgkin lymphoma characterized by the proliferation of follicle center (germinal center) B-cells. It is classified as a low-grade lymphoma, meaning it typically has a slower progression compared to higher-grade lymphomas. Patients may present with painless lymphadenopathy, often in the cervical, axillary, or inguinal regions. The disease can be indolent, with many patients remaining asymptomatic for extended periods. However, some may experience B-symptoms, which include fever, night sweats, and unexplained weight loss. Diagnosis is confirmed through lymph node biopsy, which reveals the characteristic follicular architecture and the presence of neoplastic follicle center cells. Staging is crucial for treatment planning and is typically performed using the Ann Arbor system, which assesses the extent of lymph node involvement and any extranodal disease. Treatment options may include watchful waiting for asymptomatic patients, chemotherapy, immunotherapy, or a combination of these modalities, depending on the disease stage and patient health status.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between grades of follicular lymphoma
  • Need for accurate staging and assessment of B-symptoms
  • Variability in treatment protocols based on patient presentation
  • Documentation of histological findings from biopsies

Audit Risk Factors

  • Inadequate documentation of B-symptoms
  • Failure to document staging accurately
  • Misclassification of lymphoma grade
  • Lack of follow-up documentation for treatment response

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Detailed pathology reports, treatment plans, and follow-up notes.

Common Clinical Scenarios

Diagnosis and management of newly diagnosed follicular lymphoma, treatment response assessments, and management of relapsed disease.

Billing Considerations

Ensure accurate documentation of histological findings and treatment regimens to support coding.

Pathology

Documentation Requirements

Comprehensive biopsy reports detailing histological findings and immunophenotyping.

Common Clinical Scenarios

Evaluation of lymph node biopsies for lymphoma diagnosis and grading.

Billing Considerations

Pathology reports must clearly indicate the grade and subtype of lymphoma for accurate coding.

Coding Guidelines

Inclusion Criteria

Use C82.0 When
  • Follow the official ICD
  • CM coding guidelines for neoplasms, ensuring accurate documentation of the lymphoma grade and staging
  • Include any relevant B
  • symptoms and treatment details

Exclusion Criteria

Do NOT use C82.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96413CPT Code

Chemotherapy administration, intravenous

Clinical Scenario

Used during treatment of follicular lymphoma grade I.

Documentation Requirements

Document the specific chemotherapy regimen and patient response.

Specialty Considerations

Oncology specialists must ensure accurate coding of chemotherapy sessions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of follicular lymphoma, improving the accuracy of data collection and treatment tracking. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of follicular lymphoma, improving the accuracy of data collection and treatment tracking. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of follicular lymphoma, improving the accuracy of data collection and treatment tracking. This specificity aids in better patient management and resource allocation.

Resources

Clinical References

  • •
    National Comprehensive Cancer Network (NCCN) Guidelines

Coding & Billing References

  • •
    National Comprehensive Cancer Network (NCCN) Guidelines

Frequently Asked Questions

What is the prognosis for patients with follicular lymphoma grade I?

Follicular lymphoma grade I generally has a favorable prognosis, with many patients living for years without significant symptoms. However, the disease can transform into a higher-grade lymphoma, which may require more aggressive treatment.