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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.35

C82.35

Billable

Follicular lymphoma grade IIIa, lymph nodes of inguinal region and lower limb

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

Code Description

ICD-10 C82.35 is a billable code used to indicate a diagnosis of follicular lymphoma grade iiia, lymph nodes of inguinal region and lower limb.

Key Diagnostic Point:

Follicular lymphoma is a type of non-Hodgkin lymphoma characterized by the proliferation of follicle center (germinal center) B-cells. Grade IIIa indicates a higher degree of malignancy, with a greater number of large cells present in the tumor. This specific code pertains to cases where the lymphoma is localized to the lymph nodes in the inguinal region and lower limb. Patients may present with lymphadenopathy, which can be asymptomatic or associated with B-symptoms such as fever, night sweats, and weight loss. Diagnosis typically involves imaging studies, biopsy, and histological examination to confirm the presence of follicular lymphoma and assess the grade. Treatment options may include watchful waiting, chemotherapy, immunotherapy, or radiation therapy, depending on the stage of the disease and the patient's overall health. The prognosis varies based on the grade and extent of the disease, with grade IIIa generally indicating a more aggressive form of lymphoma that may require more intensive treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between lymphoma grades (I, II, IIIa, IIIb)
  • Specificity of lymph node involvement (inguinal region and lower limb)
  • Potential for overlapping symptoms with other lymphomas
  • Need for accurate staging and assessment of B-symptoms

Audit Risk Factors

  • Inadequate documentation of B-symptoms
  • Failure to specify the grade of lymphoma
  • Misclassification of lymph node involvement
  • Lack of treatment documentation

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

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

Common Clinical Scenarios

Diagnosis and management of newly diagnosed follicular lymphoma, treatment response assessments.

Billing Considerations

Ensure accurate grading and staging are documented to support coding.

Pathology

Documentation Requirements

Comprehensive biopsy reports and histological findings.

Common Clinical Scenarios

Evaluation of lymph node biopsies for lymphoma grading.

Billing Considerations

Clear documentation of cell types and grades is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use C82.35 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the lymphoma grade and lymph node involvement
  • Include any relevant B
  • symptoms and treatment details to support the diagnosis

Exclusion Criteria

Do NOT use C82.35 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

88305CPT Code

Pathology examination of lymph node biopsy

Clinical Scenario

Used when a biopsy is performed to confirm follicular lymphoma diagnosis.

Documentation Requirements

Pathology report must clearly indicate the diagnosis and grade.

Specialty Considerations

Pathologists should ensure accurate grading is documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of lymphoma types and grades, improving the accuracy of data collection and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lymphoma types and grades, improving the accuracy of data collection and treatment tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of lymphoma types and grades, improving the accuracy of data collection and treatment tracking.

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 radiation therapy, often tailored to the patient's specific condition and overall health.