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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.23

C82.23

Billable

Follicular lymphoma grade III, unspecified, intra-abdominal lymph nodes

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

Code Description

ICD-10 C82.23 is a billable code used to indicate a diagnosis of follicular lymphoma grade iii, unspecified, intra-abdominal 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 III follicular lymphoma indicates a more aggressive form of the disease, with a higher proliferation index and a tendency to transform into a more aggressive lymphoma. The designation 'unspecified' indicates that the specific characteristics of the lymphoma have not been detailed, which can complicate treatment decisions. Intra-abdominal lymph nodes are commonly involved in this type of lymphoma, leading to symptoms such as abdominal pain, weight loss, and night sweats. The staging of follicular lymphoma is crucial for determining the prognosis and treatment approach, with the Ann Arbor staging system being the most widely used. B-symptoms, which include fever, drenching night sweats, and unexplained weight loss, are significant indicators of disease severity and can influence treatment strategies. Treatment may involve watchful waiting, chemotherapy, immunotherapy, or stem cell transplantation, depending on the stage and symptoms present.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for precise staging and grading
  • Potential for transformation to more aggressive lymphoma
  • Documentation of B-symptoms and their impact on treatment

Audit Risk Factors

  • Inadequate documentation of staging and grading
  • Failure to document B-symptoms
  • Misclassification of lymphoma type
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Detailed pathology reports, staging information, and treatment plans must be documented.

Common Clinical Scenarios

Diagnosis of follicular lymphoma, treatment planning, and monitoring of disease progression.

Billing Considerations

Accurate documentation of B-symptoms and their impact on treatment decisions is crucial.

Pathology

Documentation Requirements

Histological examination results and grading of lymphoma must be clearly documented.

Common Clinical Scenarios

Biopsy interpretation and grading of lymphomas.

Billing Considerations

Pathology reports should specify the grade and subtype of lymphoma for accurate coding.

Coding Guidelines

Inclusion Criteria

Use C82.23 When
  • According to the official coding guidelines, coders must ensure that the documentation supports the diagnosis of follicular lymphoma grade III and that the involvement of intra
  • abdominal lymph nodes is clearly stated
  • symptoms should be documented as they can affect treatment decisions

Exclusion Criteria

Do NOT use C82.23 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96413CPT Code

Chemotherapy administration, intravenous, push technique

Clinical Scenario

Used when administering chemotherapy for follicular lymphoma.

Documentation Requirements

Document the specific chemotherapy regimen and patient response.

Specialty Considerations

Oncology specialists should ensure that all treatment details are accurately recorded.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of lymphomas, including the ability to differentiate between grades and specific lymph node involvement, which enhances the accuracy of treatment planning and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lymphomas, including the ability to differentiate between grades and specific lymph node involvement, which enhances the accuracy of treatment planning and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 III?

Common treatments include chemotherapy regimens such as R-CHOP, immunotherapy, and in some cases, stem cell transplantation. Treatment decisions are based on the patient's overall health, stage of the disease, and presence of B-symptoms.