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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.02

C82.02

Billable

Follicular lymphoma grade I, intrathoracic lymph nodes

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

Code Description

ICD-10 C82.02 is a billable code used to indicate a diagnosis of follicular lymphoma grade i, intrathoracic lymph nodes.

Key Diagnostic Point:

Follicular lymphoma is a type of non-Hodgkin lymphoma characterized by the proliferation of follicle center (germinal center) B-cells. Grade I indicates a low-grade lymphoma with a relatively indolent course. When this lymphoma affects the intrathoracic lymph nodes, it typically presents with a slow-growing mass that may be asymptomatic or associated with B-symptoms such as fever, night sweats, and weight loss. Diagnosis is often confirmed through lymph node biopsy, which reveals the characteristic follicular architecture. Staging is crucial, as it determines the extent of disease and guides treatment. The Ann Arbor staging system is commonly used, with stages I and II indicating localized disease and stages III and IV indicating more advanced disease. Treatment options may include watchful waiting for asymptomatic patients, chemotherapy, immunotherapy, or radiation therapy, depending on the stage and symptoms. Regular follow-up is essential to monitor for disease progression or transformation to a more aggressive form of lymphoma.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between grades of follicular lymphoma
  • Staging requirements and implications for treatment
  • Documentation of B-symptoms and their impact on coding
  • Variability in treatment protocols based on patient presentation

Audit Risk Factors

  • Inadequate documentation of B-symptoms
  • Failure to specify the grade of lymphoma
  • Incorrect staging leading to inappropriate treatment coding
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Detailed clinical notes on symptoms, staging, and treatment plans.

Common Clinical Scenarios

Patients presenting with lymphadenopathy, B-symptoms, or incidental findings on imaging.

Billing Considerations

Accurate documentation of treatment response and any changes in disease status.

Pathology

Documentation Requirements

Comprehensive biopsy reports detailing histological findings.

Common Clinical Scenarios

Biopsy of lymph nodes showing follicular architecture.

Billing Considerations

Clear differentiation between grades and types of lymphoma in pathology reports.

Coding Guidelines

Inclusion Criteria

Use C82.02 When
  • Follow the official ICD
  • CM coding guidelines for neoplasms, ensuring accurate documentation of the grade and stage of lymphoma
  • Include any relevant B
  • symptoms and treatment plans in the medical record

Exclusion Criteria

Do NOT use C82.02 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

88305CPT Code

Pathology examination of lymph node biopsy

Clinical Scenario

Used when a biopsy is performed to confirm diagnosis.

Documentation Requirements

Pathology report must detail findings and confirm diagnosis.

Specialty Considerations

Pathologists must ensure accurate grading and staging in reports.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of follicular lymphoma, improving data accuracy and treatment tracking. It enhances the ability to capture nuances in disease presentation and management.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of follicular lymphoma, improving data accuracy and treatment tracking. It enhances the ability to capture nuances in disease presentation and management.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of follicular lymphoma, improving data accuracy and treatment tracking. It enhances the ability to capture nuances in disease presentation and management.

Resources

Clinical References

  • •
    National Comprehensive Cancer Network (NCCN) Guidelines

Coding & Billing References

  • •
    National Comprehensive Cancer Network (NCCN) Guidelines

Frequently Asked Questions

What are the common treatments for follicular lymphoma grade I?

Common treatments include watchful waiting for asymptomatic patients, chemotherapy, immunotherapy, and radiation therapy, depending on the stage and symptoms.