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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.98

C82.98

Billable

Follicular lymphoma, unspecified, lymph nodes of multiple sites

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

Code Description

ICD-10 C82.98 is a billable code used to indicate a diagnosis of follicular lymphoma, unspecified, lymph nodes of multiple sites.

Key Diagnostic Point:

Follicular lymphoma is a type of non-Hodgkin lymphoma characterized by the proliferation of follicle center (germinal center) B-cells. It is typically indolent but can transform into a more aggressive form. The unspecified designation indicates that the specific characteristics of the lymphoma are not detailed, which can complicate treatment and prognosis. This lymphoma often presents in the lymph nodes, and when it involves multiple sites, it indicates a more systemic disease. Patients may experience B-symptoms, which include fever, night sweats, and weight loss. Diagnosis is usually confirmed through biopsy and imaging studies. Staging is crucial, as it determines the extent of the disease and guides treatment options, which may include watchful waiting, chemotherapy, immunotherapy, or stem cell transplant depending on the stage and patient health. The prognosis varies widely based on these factors.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified nature of the lymphoma complicates treatment planning.
  • Variability in staging and presentation can lead to coding discrepancies.
  • B-symptoms may not always be documented, affecting coding accuracy.
  • Multiple site involvement requires careful documentation to ensure all sites are captured.

Audit Risk Factors

  • Inadequate documentation of B-symptoms.
  • Failure to specify the number of lymph node sites involved.
  • Misclassification of lymphoma type due to lack of specificity.
  • Inconsistent staging documentation.

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Diagnosis confirmation through biopsy, treatment planning for chemotherapy or immunotherapy.

Billing Considerations

Ensure all relevant symptoms and staging details are documented to support coding.

Radiology

Documentation Requirements

Imaging reports detailing lymph node involvement and any changes over time.

Common Clinical Scenarios

Imaging studies used to assess the extent of lymphoma spread.

Billing Considerations

Radiology reports should clearly indicate the number and location of affected lymph nodes.

Coding Guidelines

Inclusion Criteria

Use C82.98 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the lymphoma type, staging, and any associated symptoms
  • Include details about the number of lymph nodes involved and any treatment plans

Exclusion Criteria

Do NOT use C82.98 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85027CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

Used to monitor blood counts during treatment.

Documentation Requirements

Document the reason for the CBC and any relevant findings.

Specialty Considerations

Hematology specialists should ensure that all relevant lab results are included.

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 treatment tracking and reimbursement. C82.98 provides a clear designation for unspecified follicular lymphoma, which can help in understanding treatment patterns and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lymphomas, improving the accuracy of treatment tracking and reimbursement. C82.98 provides a clear designation for unspecified follicular lymphoma, which can help in understanding treatment patterns and outcomes.

Reimbursement & Billing Impact

reimbursement. C82.98 provides a clear designation for unspecified follicular lymphoma, which can help in understanding treatment patterns and outcomes.

Resources

Clinical References

  • •
    American Cancer Society - Follicular Lymphoma

Coding & Billing References

  • •
    American Cancer Society - Follicular Lymphoma

Frequently Asked Questions

What are the common treatments for follicular lymphoma?

Common treatments include watchful waiting for early-stage disease, chemotherapy, immunotherapy, and in some cases, stem cell transplant for advanced disease.