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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.09

C82.09

Billable

Follicular lymphoma grade I, extranodal and solid organ sites

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

Code Description

ICD-10 C82.09 is a billable code used to indicate a diagnosis of follicular lymphoma grade i, extranodal and solid organ sites.

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. This subtype is typically indolent, meaning it progresses slowly, and is often diagnosed at an advanced stage. Extranodal involvement indicates that the lymphoma has spread beyond the lymph nodes to other organs, which can include the spleen, liver, bone marrow, or gastrointestinal tract. Patients may present with B-symptoms such as fever, night sweats, and weight loss, which can indicate a more aggressive disease course. Diagnosis is confirmed through biopsy and histological examination, often requiring immunophenotyping to distinguish it from other lymphomas. Treatment protocols may include watchful waiting for asymptomatic patients, chemotherapy, immunotherapy, or targeted therapies, depending on the stage and symptoms. The prognosis varies, but many patients can achieve long-term remission with appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other lymphoma types
  • Need for precise staging and grading
  • Documentation of extranodal involvement
  • Management of B-symptoms

Audit Risk Factors

  • Inadequate documentation of staging
  • Failure to specify extranodal involvement
  • Misclassification of lymphoma grade
  • Lack of evidence for B-symptoms

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Comprehensive clinical notes detailing diagnosis, staging, treatment plans, and follow-up.

Common Clinical Scenarios

Patients presenting with lymphadenopathy, splenomegaly, or B-symptoms.

Billing Considerations

Ensure accurate grading and staging documentation to support treatment decisions.

Pathology

Documentation Requirements

Detailed pathology reports including histological findings and immunophenotyping results.

Common Clinical Scenarios

Biopsy specimens from lymph nodes or extranodal sites.

Billing Considerations

Accurate reporting of lymphoma subtype and grade is critical for appropriate coding.

Coding Guidelines

Inclusion Criteria

Use C82.09 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the lymphoma's grade and extranodal involvement
  • Include relevant clinical findings and treatment plans to support the diagnosis

Exclusion Criteria

Do NOT use C82.09 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96413CPT Code

Chemotherapy administration

Clinical Scenario

Used when administering chemotherapy for follicular lymphoma.

Documentation Requirements

Document the type of chemotherapy, dosage, and patient response.

Specialty Considerations

Oncology specialists must ensure accurate coding of chemotherapy regimens.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of lymphomas, improving the accuracy of diagnosis and treatment tracking. C82.09 provides a clear distinction for follicular lymphoma grade I, enhancing clinical data collection and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lymphomas, improving the accuracy of diagnosis and treatment tracking. C82.09 provides a clear distinction for follicular lymphoma grade I, enhancing clinical data collection and research.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of lymphomas, improving the accuracy of diagnosis and treatment tracking. C82.09 provides a clear distinction for follicular lymphoma grade I, enhancing clinical data collection and research.

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 regimens such as CHOP or R-CHOP, and targeted therapies like rituximab. The choice of treatment depends on the stage of the disease and the presence of B-symptoms.