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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.32

C82.32

Billable

Follicular lymphoma grade IIIa, intrathoracic lymph nodes

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

Code Description

ICD-10 C82.32 is a billable code used to indicate a diagnosis of follicular lymphoma grade iiia, intrathoracic lymph nodes.

Key Diagnostic Point:

Follicular lymphoma is a type of non-Hodgkin lymphoma characterized by the proliferation of follicle center (germinal center) B-cells. Grade IIIa indicates a more aggressive form of the disease, where there is a predominance of large cells, but still retains some follicular architecture. The involvement of intrathoracic lymph nodes suggests that the lymphoma has spread beyond its original site, which can complicate treatment and prognosis. Patients may present with B-symptoms, which include fever, night sweats, and weight loss, indicating systemic involvement. Diagnosis typically involves imaging studies such as CT scans and biopsy of affected lymph nodes. Treatment options may include chemotherapy, immunotherapy, or radiation therapy, depending on the stage and overall health of the patient. The prognosis for grade IIIa follicular lymphoma can vary, and close monitoring is essential to manage the disease effectively.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between grades of follicular lymphoma
  • Need for accurate staging based on imaging and biopsy results
  • Potential for B-symptoms affecting treatment decisions
  • Variability in treatment protocols based on patient health and disease progression

Audit Risk Factors

  • Inaccurate staging leading to incorrect treatment coding
  • Failure to document B-symptoms
  • Misclassification of lymphoma grade
  • Inadequate documentation of imaging studies

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Detailed pathology reports, imaging results, and treatment plans.

Common Clinical Scenarios

Diagnosis and management of newly diagnosed lymphoma patients, treatment planning for relapsed disease.

Billing Considerations

Ensure accurate documentation of disease staging and grading, as well as patient symptoms.

Radiology

Documentation Requirements

Clear imaging reports indicating lymph node involvement and any changes over time.

Common Clinical Scenarios

CT scans for staging and monitoring response to treatment.

Billing Considerations

Radiologists should document the size and location of lymph nodes to support accurate coding.

Coding Guidelines

Inclusion Criteria

Use C82.32 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the lymphoma grade and staging
  • Include any relevant B
  • symptoms and treatment plans in the medical record

Exclusion Criteria

Do NOT use C82.32 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96413CPT Code

Chemotherapy administration, intravenous

Clinical Scenario

Used for administering chemotherapy to treat follicular lymphoma.

Documentation Requirements

Document the specific chemotherapy regimen and patient response.

Specialty Considerations

Oncology specialists should ensure accurate coding of chemotherapy administration.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of lymphoma types and grades, improving the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lymphoma types and grades, improving the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of lymphoma types and grades, improving the accuracy of patient records and treatment plans.

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 treatments for follicular lymphoma grade IIIa?

Common treatments include chemotherapy regimens such as R-CHOP, immunotherapy, and radiation therapy, depending on the patient's overall health and disease stage.