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ICD-10 Guide
ICD-10 CodesC82.47

C82.47

Billable

Follicular lymphoma grade IIIb, spleen

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

Code Description

ICD-10 C82.47 is a billable code used to indicate a diagnosis of follicular lymphoma grade iiib, 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 IIIb indicates a high-grade variant of this lymphoma, where there is a predominance of large cells. When the spleen is involved, 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 histopathological examination of lymph node or spleen biopsies, revealing the characteristic follicular architecture and the presence of large cells. Staging of follicular lymphoma is crucial for determining prognosis and treatment options, which may include watchful waiting, chemotherapy, immunotherapy, or stem cell transplantation, depending on the disease stage and patient health. The prognosis for patients with grade IIIb follicular lymphoma can vary, and treatment is often tailored to individual patient needs.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiation between grades of follicular lymphoma
  • Involvement of specific organs (e.g., spleen)
  • Potential for B-symptoms affecting treatment decisions
  • Need for accurate staging and documentation of disease progression

Audit Risk Factors

  • Inaccurate grading of lymphoma
  • Failure to document B-symptoms
  • Misidentification of organ involvement
  • Inadequate staging documentation

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Comprehensive documentation of diagnosis, staging, treatment plans, and follow-up care.

Common Clinical Scenarios

Diagnosis and management of newly diagnosed patients, treatment response evaluations, and management of relapsed disease.

Billing Considerations

Ensure accurate documentation of histological findings and any associated symptoms to support coding.

Pathology

Documentation Requirements

Detailed pathology reports including histological grading and immunophenotyping.

Common Clinical Scenarios

Biopsy evaluations for suspected lymphomas and grading of lymphoid tissues.

Billing Considerations

Pathology reports must clearly indicate the grade and subtype of lymphoma for accurate coding.

Coding Guidelines

Inclusion Criteria

Use C82.47 When
  • Follow the official ICD
  • CM coding guidelines for neoplasms, ensuring accurate documentation of the type, grade, and site of the lymphoma
  • Include any relevant B
  • symptoms and staging information

Exclusion Criteria

Do NOT use C82.47 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

88305CPT Code

Pathology examination, surgical

Clinical Scenario

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

Documentation Requirements

Pathology report must include details of the histological findings.

Specialty Considerations

Pathologists must ensure accurate grading and subtype identification.

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. C82.47 provides a clear distinction for grade IIIb follicular lymphoma, which is crucial for treatment planning and outcomes tracking.

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. C82.47 provides a clear distinction for grade IIIb follicular lymphoma, which is crucial for treatment planning and outcomes tracking.

Reimbursement & Billing Impact

reimbursement processes. C82.47 provides a clear distinction for grade IIIb follicular lymphoma, which is crucial for treatment planning and outcomes tracking.

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 IIIb?

Common treatments include chemotherapy, immunotherapy, and in some cases, stem cell transplantation. Treatment plans are individualized based on the patient's overall health and disease stage.