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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.14

C82.14

Billable

Follicular lymphoma grade II, lymph nodes of axilla and upper limb

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

Code Description

ICD-10 C82.14 is a billable code used to indicate a diagnosis of follicular lymphoma grade ii, lymph nodes of axilla and upper limb.

Key Diagnostic Point:

Follicular lymphoma grade II is a type of non-Hodgkin lymphoma characterized by the proliferation of follicle center (germinal center) B-cells. This subtype is classified as indolent, meaning it typically progresses slowly. The involvement of lymph nodes in the axilla and upper limb indicates that the disease has localized to these areas, which can be assessed through imaging studies and biopsy. Patients may present with painless lymphadenopathy, and the diagnosis is confirmed through histological examination showing follicular architecture with a predominance of neoplastic follicles. Staging is crucial, as it determines the extent of the disease and guides treatment options. Follicular lymphoma can present with B-symptoms such as fever, night sweats, and weight loss, which may indicate a more aggressive disease course. Treatment protocols often include watchful waiting for asymptomatic patients, while symptomatic cases may require chemotherapy, immunotherapy, or radiation therapy, depending on the stage and patient health status.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between grades of follicular lymphoma
  • Staging requirements for accurate coding
  • Potential for overlapping symptoms with other lymphomas
  • Need for precise documentation of lymph node involvement

Audit Risk Factors

  • Inadequate documentation of lymph node sites
  • Failure to specify grade of lymphoma
  • Misclassification of indolent vs. aggressive lymphoma
  • Lack of clarity on B-symptoms presence

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Diagnosis confirmation through biopsy, treatment planning for chemotherapy or radiation.

Billing Considerations

Ensure accurate staging and grading are documented to support coding.

Pathology

Documentation Requirements

Histological findings, grading of lymphoma, and lymph node involvement.

Common Clinical Scenarios

Reviewing biopsy samples for diagnosis confirmation.

Billing Considerations

Clear documentation of follicular architecture and grade is essential.

Coding Guidelines

Inclusion Criteria

Use C82.14 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the lymphoma grade and staging
  • Include any relevant B
  • symptoms and treatment plans in the medical record

Exclusion Criteria

Do NOT use C82.14 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85041CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

Used to monitor blood counts during treatment.

Documentation Requirements

Document the reason for the CBC and any relevant findings.

Specialty Considerations

Hematology specialists should ensure accurate interpretation of results.

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 data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lymphomas, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    National Comprehensive Cancer Network (NCCN) Guidelines

Coding & Billing References

  • •
    National Comprehensive Cancer Network (NCCN) Guidelines

Frequently Asked Questions

What is the significance of grading in follicular lymphoma?

Grading helps determine the aggressiveness of the lymphoma and influences treatment decisions. Grade II indicates a higher proliferation rate than grade I, which may necessitate more aggressive treatment.