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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.27

C82.27

Billable

Follicular lymphoma grade III, unspecified, spleen

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

Code Description

ICD-10 C82.27 is a billable code used to indicate a diagnosis of follicular lymphoma grade iii, unspecified, spleen.

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. When classified as 'unspecified,' it indicates that the specific characteristics of the lymphoma have not been detailed. In cases where the spleen is involved, patients may present with splenomegaly, which can lead to symptoms such as abdominal discomfort or fullness. The disease may also manifest with B-symptoms, including fever, night sweats, and weight loss, which are indicative of systemic involvement. Treatment protocols often include chemotherapy regimens, immunotherapy, or targeted therapies, depending on the stage of the disease and the patient's overall health. Regular monitoring and staging through imaging studies are crucial for assessing disease progression and treatment efficacy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between grades of follicular lymphoma
  • Need for precise documentation of spleen involvement
  • Potential for transformation to more aggressive lymphoma
  • Variability in treatment protocols based on staging

Audit Risk Factors

  • Inadequate documentation of B-symptoms
  • Failure to specify the grade of lymphoma
  • Misclassification of lymphoma type
  • Lack of supporting documentation for treatment plans

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Detailed clinical notes on patient history, physical examination findings, and treatment plans.

Common Clinical Scenarios

Diagnosis of follicular lymphoma, treatment initiation, and follow-up assessments.

Billing Considerations

Ensure accurate staging and grading are documented to support coding.

Pathology

Documentation Requirements

Histopathological reports detailing the grade and subtype of lymphoma.

Common Clinical Scenarios

Biopsy evaluations and interpretation of lymph node or spleen samples.

Billing Considerations

Pathology reports must clearly indicate the grade and any transformation of the lymphoma.

Coding Guidelines

Inclusion Criteria

Use C82.27 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the lymphoma's grade and any associated symptoms
  • Include staging information when available

Exclusion Criteria

Do NOT use C82.27 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

Used to monitor blood counts during treatment for lymphoma.

Documentation Requirements

Document the reason for the CBC and any findings.

Specialty Considerations

Hematology/Oncology specialists should ensure CBC results are correlated with clinical findings.

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. C82.27 provides a clear classification for a specific type of follicular lymphoma, aiding in treatment planning and research.

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. C82.27 provides a clear classification for a specific type of follicular lymphoma, aiding in treatment planning and research.

Reimbursement & Billing Impact

reimbursement processes. C82.27 provides a clear classification for a specific type of follicular lymphoma, aiding in treatment planning and research.

Resources

Clinical References

  • •
    American Cancer Society - Lymphoma

Coding & Billing References

  • •
    American Cancer Society - Lymphoma

Frequently Asked Questions

What are the common treatments for follicular lymphoma grade III?

Common treatments include chemotherapy regimens such as R-CHOP, immunotherapy with monoclonal antibodies, and targeted therapies. Treatment plans are individualized based on the patient's overall health and disease stage.