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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.87

C82.87

Billable

Other types of follicular lymphoma, spleen

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

Code Description

ICD-10 C82.87 is a billable code used to indicate a diagnosis of other types of follicular lymphoma, spleen.

Key Diagnostic Point:

Follicular lymphoma is a type of non-Hodgkin lymphoma characterized by the proliferation of follicle center (germinal center) B-cells. The 'other types' designation under C82.87 refers to specific variants of follicular lymphoma that may not fit into the more common classifications. When this lymphoma affects the spleen, it can lead to splenomegaly, which may present with symptoms such as abdominal discomfort or fullness. Diagnosis typically involves imaging studies, such as CT scans, and biopsy of the spleen or lymph nodes. Staging of follicular lymphoma is crucial, as it influences treatment decisions and prognosis. The Ann Arbor staging system is commonly used, which considers the number of lymph node regions involved and the presence of B-symptoms (fever, night sweats, and weight loss). Treatment protocols may include watchful waiting for asymptomatic patients, chemotherapy, immunotherapy, or targeted therapies, depending on the stage and symptoms. Regular follow-up is essential to monitor for disease progression or transformation to a more aggressive lymphoma.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for precise staging and documentation
  • Differentiation from other types of lymphomas
  • Potential for transformation to aggressive lymphoma

Audit Risk Factors

  • Inadequate documentation of staging
  • Failure to document B-symptoms
  • Misclassification of lymphoma type
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Detailed clinical notes on staging, treatment plans, and response to therapy.

Common Clinical Scenarios

Diagnosis and management of newly diagnosed follicular lymphoma, monitoring for transformation.

Billing Considerations

Ensure accurate documentation of B-symptoms and staging to support coding.

Pathology

Documentation Requirements

Pathology reports must clearly indicate the type of lymphoma and any histological findings.

Common Clinical Scenarios

Biopsy interpretation and classification of lymphoid tissue.

Billing Considerations

Accurate histological classification is critical for appropriate coding.

Coding Guidelines

Inclusion Criteria

Use C82.87 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the type of lymphoma and its staging
  • Include any relevant B
  • symptoms and treatment details

Exclusion Criteria

Do NOT use C82.87 When
  • Exclude codes that do not specify the spleen as the site of involvement

Related ICD-10 Codes

Related CPT Codes

85041CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

Used to monitor blood counts in patients undergoing treatment for lymphoma.

Documentation Requirements

Document the reason for the CBC and any relevant findings.

Specialty Considerations

Hematology specialists should ensure that CBC results are interpreted in the context of 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 follicular lymphoma, improving the accuracy of data collection and reimbursement processes. It emphasizes the need for detailed documentation of the disease's characteristics and treatment.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of follicular lymphoma, improving the accuracy of data collection and reimbursement processes. It emphasizes the need for detailed documentation of the disease's characteristics and treatment.

Reimbursement & Billing Impact

reimbursement processes. It emphasizes the need for detailed documentation of the disease's characteristics and treatment.

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 follicular lymphoma?

Common symptoms include painless lymphadenopathy, splenomegaly, and B-symptoms such as fever, night sweats, and weight loss.