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ICD-10 Guide
ICD-10 CodesC82.41

C82.41

Billable

Follicular lymphoma grade IIIb, lymph nodes of head, face, and neck

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

Code Description

ICD-10 C82.41 is a billable code used to indicate a diagnosis of follicular lymphoma grade iiib, lymph nodes of head, face, and neck.

Key Diagnostic Point:

Follicular lymphoma is a type of non-Hodgkin lymphoma characterized by the proliferation of follicle center (germinal center) B-cells. Grade IIIb indicates a more aggressive form of the disease, where more than 50% of the neoplastic cells are large cells, often leading to a more rapid progression. This specific code pertains to cases where the lymphoma is localized to the lymph nodes of the head, face, and neck. Patients may present with painless lymphadenopathy in these regions, and the disease can be associated with B-symptoms such as fever, night sweats, and weight loss. Diagnosis typically involves imaging studies, biopsy, and histological examination to confirm the presence of follicular lymphoma and assess the grade. Treatment options may include watchful waiting, chemotherapy, immunotherapy, or radiation therapy, depending on the stage and symptoms of the disease. The prognosis varies based on the individual’s overall health, the extent of the disease, and response to treatment.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiation between lymphoma grades
  • Specificity of lymph node involvement
  • Potential for overlapping symptoms with other lymphomas
  • Need for precise staging and treatment documentation

Audit Risk Factors

  • Inadequate documentation of staging
  • Failure to specify lymph node involvement
  • Misclassification of lymphoma grade
  • Lack of documentation for B-symptoms

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with lymphadenopathy, B-symptoms, or those undergoing treatment for follicular lymphoma.

Billing Considerations

Accurate grading and staging are crucial for treatment planning and coding.

Radiology

Documentation Requirements

Imaging reports must clearly indicate the presence and location of lymphadenopathy.

Common Clinical Scenarios

Imaging studies performed to assess lymph node involvement in suspected lymphoma cases.

Billing Considerations

Radiologists should ensure that findings correlate with clinical documentation for accurate coding.

Coding Guidelines

Inclusion Criteria

Use C82.41 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the lymphoma grade and lymph node involvement
  • Include any relevant B
  • symptoms and treatment details

Exclusion Criteria

Do NOT use C82.41 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85041CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

Used to assess overall health and detect blood disorders in patients with lymphoma.

Documentation Requirements

Document the reason for the CBC and any relevant findings.

Specialty Considerations

Hematologists should correlate CBC results with clinical findings.

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. C82.41 provides a clear distinction for grade IIIb follicular lymphoma, which aids in treatment planning and epidemiological studies.

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. C82.41 provides a clear distinction for grade IIIb follicular lymphoma, which aids in treatment planning and epidemiological studies.

Reimbursement & Billing Impact

reimbursement processes. C82.41 provides a clear distinction for grade IIIb follicular lymphoma, which aids in treatment planning and epidemiological studies.

Resources

Clinical References

  • •
    American Cancer Society - Lymphoma

Coding & Billing References

  • •
    American Cancer Society - Lymphoma

Frequently Asked Questions

What is the significance of the grade in follicular lymphoma?

The grade indicates the aggressiveness of the lymphoma, with higher grades (like IIIb) suggesting a more aggressive disease that may require more intensive treatment.