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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.37

C82.37

Billable

Follicular lymphoma grade IIIa, spleen

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

Code Description

ICD-10 C82.37 is a billable code used to indicate a diagnosis of follicular lymphoma grade iiia, 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 IIIa indicates a more aggressive form of the disease, where there is a higher percentage of large cells present in the tumor. When this lymphoma affects the spleen, it can lead to splenomegaly and may present with systemic symptoms. Patients may experience B-symptoms, which include fever, night sweats, and weight loss. The diagnosis is typically confirmed through biopsy and histological examination, which reveals the characteristic follicular architecture. Staging of follicular lymphoma is crucial for determining the appropriate treatment approach, which may include watchful waiting, chemotherapy, immunotherapy, or stem cell transplantation, depending on the stage and symptoms. The prognosis varies based on the grade and stage of the lymphoma, with grade IIIa generally indicating a more aggressive disease course requiring prompt intervention.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between lymphoma grades
  • Need for accurate staging information
  • Documentation of B-symptoms
  • Variability in treatment protocols

Audit Risk Factors

  • Inadequate documentation of B-symptoms
  • Failure to specify the grade of lymphoma
  • Incorrect staging information
  • Misclassification of lymphoma type

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 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 and spleen biopsies for lymphoma diagnosis.

Billing Considerations

Pathology reports must clearly indicate the grade and type of lymphoma.

Coding Guidelines

Inclusion Criteria

Use C82.37 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, including the grade and stage of lymphoma
  • Include any relevant B
  • symptoms and treatment details

Exclusion Criteria

Do NOT use C82.37 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 in patients with lymphoma.

Documentation Requirements

Document the reason for the CBC and any relevant findings.

Specialty Considerations

Hematology specialists should ensure correlation with lymphoma treatment.

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 differentiation by grade and site, which enhances data accuracy and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lymphomas, including differentiation by grade and site, which enhances data accuracy and treatment tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of lymphomas, including differentiation by grade and site, which enhances data accuracy 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 regimens such as R-CHOP, immunotherapy with monoclonal antibodies, and in some cases, stem cell transplantation, depending on the patient's overall health and disease stage.