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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.06

C82.06

Billable

Follicular lymphoma grade I, intrapelvic lymph nodes

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

Code Description

ICD-10 C82.06 is a billable code used to indicate a diagnosis of follicular lymphoma grade i, intrapelvic 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 is localized to the intrapelvic lymph nodes, it may present with minimal symptoms initially. Patients may experience B-symptoms, which include fever, night sweats, and unexplained weight loss, although these are less common in low-grade lymphomas. Diagnosis typically involves imaging studies such as CT scans and biopsy of affected lymph nodes. Staging is crucial, as it determines the extent of the disease and guides treatment options. Follicular lymphoma is often staged using the Ann Arbor system, which considers the number of lymph node regions involved and the presence of B-symptoms. Treatment may include watchful waiting for asymptomatic patients, chemotherapy, immunotherapy, or radiation therapy, depending on the disease stage and patient health. The prognosis for grade I follicular lymphoma is generally favorable, but careful monitoring is essential due to the potential for transformation to a more aggressive form of lymphoma.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between lymphoma grades and types
  • 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 staging and grade
  • Failure to document B-symptoms
  • Misclassification of lymphoma type or grade
  • Inconsistent treatment documentation

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Detailed clinical notes on staging, treatment plans, and patient responses.

Common Clinical Scenarios

Diagnosis and management of newly diagnosed follicular lymphoma, treatment planning for relapsed disease.

Billing Considerations

Ensure accurate documentation of B-symptoms and treatment response to support coding.

Radiology

Documentation Requirements

Imaging reports detailing lymph node involvement and staging.

Common Clinical Scenarios

CT or PET scans for staging and monitoring of lymphoma.

Billing Considerations

Clear documentation of imaging findings related to lymph node involvement is crucial.

Coding Guidelines

Inclusion Criteria

Use C82.06 When
  • Follow the official ICD
  • CM coding guidelines for neoplasms, ensuring accurate documentation of the lymphoma type, grade, and staging
  • Include any relevant B
  • symptoms and treatment details

Exclusion Criteria

Do NOT use C82.06 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85041CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

Used for monitoring blood counts during treatment.

Documentation Requirements

Document rationale for CBC and any abnormalities noted.

Specialty Considerations

Hematology specialists should ensure thorough documentation of blood work results.

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.

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.

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.

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 symptoms of follicular lymphoma?

Common symptoms include painless swelling of lymph nodes, fatigue, fever, night sweats, and weight loss. However, many patients may be asymptomatic at diagnosis.