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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.17

C82.17

Billable

Follicular lymphoma grade II, spleen

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

Code Description

ICD-10 C82.17 is a billable code used to indicate a diagnosis of follicular lymphoma grade ii, spleen.

Key Diagnostic Point:

Follicular lymphoma grade II is a type of non-Hodgkin lymphoma characterized by the proliferation of follicle center (germinal center) B-cells. This malignancy typically presents in the lymph nodes but can also involve extranodal sites, including the spleen. The spleen is often affected in advanced stages of the disease, leading to splenomegaly. Patients may present with B-symptoms such as fever, night sweats, and weight loss, which indicate systemic involvement. The disease is classified into grades based on histological features, with grade II indicating a moderate proliferation of neoplastic cells. Diagnosis is confirmed through biopsy and immunophenotyping, revealing the presence of CD10, CD19, and CD20 markers. Treatment options vary based on the stage of the disease and may include watchful waiting, chemotherapy, immunotherapy, or targeted therapies. The prognosis for patients with follicular lymphoma grade II can vary, but it is generally considered an indolent form of lymphoma, with many patients living for years with effective management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of lymphoma grading and staging.
  • Differentiation from other types of lymphomas.
  • Need for accurate documentation of B-symptoms.
  • Potential for multiple treatment modalities.

Audit Risk Factors

  • Inadequate documentation of B-symptoms.
  • Failure to specify the grade of lymphoma.
  • Misclassification of lymphoma type.
  • Lack of supporting clinical evidence for treatment decisions.

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

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

Common Clinical Scenarios

Initial diagnosis, treatment planning, and follow-up of patients with follicular lymphoma.

Billing Considerations

Ensure accurate grading and staging are documented to support coding.

Pathology

Documentation Requirements

Histopathological reports detailing the grade and subtype of lymphoma.

Common Clinical Scenarios

Biopsy interpretation and reporting of lymphoid tissue.

Billing Considerations

Clear documentation of immunophenotyping results is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use C82.17 When
  • Follow the official ICD
  • CM coding guidelines for neoplasms, ensuring accurate documentation of the site, grade, and any associated symptoms
  • Include any relevant staging information as per the Ann Arbor classification

Exclusion Criteria

Do NOT use C82.17 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 during treatment.

Documentation Requirements

Document the reason for the CBC and any abnormalities noted.

Specialty Considerations

Hematology specialists should ensure all lab results are linked to the diagnosis.

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. C82.17 provides a clear distinction for follicular lymphoma grade II, aiding in treatment planning and research.

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. C82.17 provides a clear distinction for follicular lymphoma grade II, aiding in treatment planning and research.

Reimbursement & Billing Impact

reimbursement processes. C82.17 provides a clear distinction for follicular lymphoma grade II, aiding in treatment planning and research.

Resources

Clinical References

  • •
    National Comprehensive Cancer Network (NCCN) Guidelines

Coding & Billing References

  • •
    National Comprehensive Cancer Network (NCCN) Guidelines

Frequently Asked Questions

What is the significance of grading in follicular lymphoma?

Grading in follicular lymphoma indicates the proliferation rate of the cancer cells, which can influence treatment decisions and prognosis. Grade II indicates a moderate proliferation rate, which may require more aggressive treatment compared to grade I.