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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.44

C82.44

Billable

Follicular lymphoma grade IIIb, lymph nodes of axilla and upper limb

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

Code Description

ICD-10 C82.44 is a billable code used to indicate a diagnosis of follicular lymphoma grade iiib, lymph nodes of axilla and upper limb.

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, with a higher proportion of large cells compared to grades I and II. This specific code pertains to cases where the lymphoma is localized in the lymph nodes of the axilla and upper limb. Patients may present with symptoms such as painless lymphadenopathy, which can be accompanied by B-symptoms like fever, night sweats, and weight loss. Diagnosis typically involves imaging studies, biopsy, and histological examination to confirm the presence of neoplastic follicle center cells. Treatment protocols may include watchful waiting, chemotherapy, immunotherapy, or radiation therapy, depending on the stage of the disease and the patient's overall health. The prognosis varies, with factors such as age, performance status, and response to initial therapy playing significant roles in outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Comprehensive documentation of diagnosis, staging, treatment plans, and patient responses.

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 prognosis.

Pathology

Documentation Requirements

Detailed histopathological reports confirming the diagnosis and grade of lymphoma.

Common Clinical Scenarios

Biopsy specimens from lymph nodes showing follicular lymphoma characteristics.

Billing Considerations

Pathologists must ensure clear communication of findings to support accurate coding.

Coding Guidelines

Inclusion Criteria

Use C82.44 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the lymphoma grade, site, and any associated symptoms
  • Include staging information when available, and ensure that the diagnosis aligns with the treatment provided

Exclusion Criteria

Do NOT use C82.44 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 for lymphoma.

Documentation Requirements

Document the reason for the CBC and any abnormalities noted.

Specialty Considerations

Hematology specialists should ensure that CBC results are correlated 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. C82.44 provides detailed information that can impact treatment protocols and patient management.

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. C82.44 provides detailed information that can impact treatment protocols and patient management.

Reimbursement & Billing Impact

reimbursement processes. C82.44 provides detailed information that can impact treatment protocols and patient management.

Resources

Clinical References

  • •
    American Cancer Society - Lymphoma

Coding & Billing References

  • •
    American Cancer Society - Lymphoma

Frequently Asked Questions

What are the common symptoms of follicular lymphoma?

Common symptoms include painless swelling of lymph nodes, fever, night sweats, and unexplained weight loss, known as B-symptoms.

How is follicular lymphoma treated?

Treatment options may include watchful waiting, chemotherapy, immunotherapy, and radiation therapy, depending on the stage and grade of the lymphoma.