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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.3

C82.3

Billable

Follicular lymphoma grade IIIa

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

Code Description

ICD-10 C82.3 is a billable code used to indicate a diagnosis of follicular lymphoma grade iiia.

Key Diagnostic Point:

Follicular lymphoma grade IIIa is a subtype of non-Hodgkin lymphoma characterized by the proliferation of follicle center (germinal center) B-cells. It is classified as a low-grade lymphoma but can exhibit aggressive behavior, particularly in its grade IIIa form, where there is a predominance of large cells. This condition typically presents with painless lymphadenopathy, and patients may experience systemic B-symptoms such as fever, night sweats, and weight loss. Diagnosis is confirmed through histological examination of lymph node biopsies, which reveal a mixture of small and large cells. Staging is crucial for treatment planning and is typically performed using the Ann Arbor system, which assesses the extent of lymph node involvement and any extranodal disease. Treatment options may include watchful waiting for asymptomatic patients, chemotherapy, immunotherapy, or a combination of these modalities, depending on the stage and symptoms. The prognosis varies, with factors such as age, performance status, and response to initial therapy playing significant roles in outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between grades of follicular lymphoma
  • Need for precise staging and assessment of B-symptoms
  • Variability in treatment protocols based on patient presentation
  • Documentation of histological findings and treatment response

Audit Risk Factors

  • Inadequate documentation of histological findings
  • Failure to document B-symptoms
  • Incorrect staging leading to inappropriate treatment coding
  • Misclassification with other lymphoma grades

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Detailed pathology reports, treatment plans, and follow-up notes are essential.

Common Clinical Scenarios

Patients presenting with lymphadenopathy, B-symptoms, or those undergoing chemotherapy.

Billing Considerations

Accurate grading and staging are critical for treatment decisions and prognosis.

Pathology

Documentation Requirements

Comprehensive biopsy reports detailing cell types and grades.

Common Clinical Scenarios

Biopsy evaluations of lymph nodes suspected of lymphoma.

Billing Considerations

Clear differentiation between lymphoma grades is vital for accurate coding.

Coding Guidelines

Inclusion Criteria

Use C82.3 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, staging, and treatment
  • Include any relevant B
  • symptoms and treatment responses in the medical record

Exclusion Criteria

Do NOT use C82.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96413CPT Code

Chemotherapy administration, intravenous

Clinical Scenario

Used during treatment of follicular lymphoma grade IIIa.

Documentation Requirements

Document the specific chemotherapy agents used and the patient's 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 lymphoma subtypes, improving the accuracy of treatment data and outcomes tracking for follicular lymphoma grade IIIa.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lymphoma subtypes, improving the accuracy of treatment data and outcomes tracking for follicular lymphoma grade IIIa.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of lymphoma subtypes, improving the accuracy of treatment data and outcomes tracking for follicular lymphoma grade IIIa.

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 IIIa?

Common treatments include chemotherapy, immunotherapy, and in some cases, radiation therapy, depending on the stage and symptoms of the disease.