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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.62

C82.62

Billable

Cutaneous follicle center lymphoma, intrathoracic lymph nodes

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

Code Description

ICD-10 C82.62 is a billable code used to indicate a diagnosis of cutaneous follicle center lymphoma, intrathoracic lymph nodes.

Key Diagnostic Point:

Cutaneous follicle center lymphoma (CFCL) is a subtype of non-Hodgkin lymphoma that primarily affects the skin and is characterized by the proliferation of follicle center (germinal center) B-cells. When CFCL involves the intrathoracic lymph nodes, it indicates a more advanced stage of the disease, often associated with systemic symptoms. Patients may present with localized skin lesions, which can be nodular or plaque-like, and may also experience B-symptoms such as fever, night sweats, and weight loss. The diagnosis is typically confirmed through a combination of clinical evaluation, imaging studies, and histopathological examination of biopsy samples. Staging is crucial in determining the extent of the disease and guiding treatment options, which may include localized radiation therapy, chemotherapy, or immunotherapy. The prognosis varies based on the stage at diagnosis and the patient's overall health, with early-stage disease generally having a better outcome.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other types of lymphomas
  • Need for accurate staging documentation
  • Potential for overlapping symptoms with other conditions
  • Variability in treatment protocols based on staging

Audit Risk Factors

  • Inadequate documentation of staging
  • Failure to document B-symptoms
  • Misclassification of lymphoma subtype
  • Lack of supporting pathology reports

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Comprehensive clinical notes, pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Diagnosis and management of cutaneous lymphomas, staging evaluations, and treatment response assessments.

Billing Considerations

Ensure accurate documentation of symptoms and staging to support coding.

Dermatology

Documentation Requirements

Detailed descriptions of skin lesions, biopsy results, and any systemic symptoms.

Common Clinical Scenarios

Evaluation of skin lesions suspected to be lymphoma and coordination with oncology for treatment.

Billing Considerations

Documenting the relationship between skin findings and lymph node involvement is crucial.

Coding Guidelines

Inclusion Criteria

Use C82.62 When
  • Follow the official ICD
  • CM coding guidelines for neoplasms, ensuring accurate documentation of the lymphoma subtype and staging
  • Include any relevant B
  • symptoms and treatment details

Exclusion Criteria

Do NOT use C82.62 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

88305CPT Code

Pathology examination of tissue

Clinical Scenario

Used when a biopsy is performed to confirm CFCL.

Documentation Requirements

Pathology report detailing the findings and diagnosis.

Specialty Considerations

Ensure the report is linked to the correct diagnosis for accurate coding.

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 subtypes like CFCL. This specificity aids in better tracking of disease prevalence and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lymphomas, including subtypes like CFCL. This specificity aids in better tracking of disease prevalence and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of lymphomas, including subtypes like CFCL. This specificity aids in better tracking of disease prevalence and treatment outcomes.

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 symptoms of cutaneous follicle center lymphoma?

Common symptoms include skin lesions that may appear as nodules or plaques, along with systemic symptoms such as fever, night sweats, and unexplained weight loss.