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ICD-10 Guide
ICD-10 CodesC82.56

C82.56

Billable

Diffuse follicle center lymphoma, intrapelvic lymph nodes

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

Code Description

ICD-10 C82.56 is a billable code used to indicate a diagnosis of diffuse follicle center lymphoma, intrapelvic lymph nodes.

Key Diagnostic Point:

Diffuse follicle center lymphoma (DFCL) is a subtype of non-Hodgkin lymphoma characterized by the proliferation of neoplastic B-cells within the follicle center of lymphoid tissue. This specific code, C82.56, indicates that the lymphoma is primarily located in the intrapelvic lymph nodes, which can include nodes in the iliac and pelvic regions. Patients may present with symptoms such as lymphadenopathy, abdominal discomfort, or systemic B-symptoms, which include fever, night sweats, and weight loss. The diagnosis is typically confirmed through histopathological examination of lymph node biopsies, and immunophenotyping is often utilized to distinguish DFCL from other lymphomas. Staging of the disease is crucial for determining prognosis and treatment options, with the Ann Arbor staging system commonly employed. Treatment protocols may include chemotherapy, immunotherapy, or radiation therapy, depending on the stage and overall health of the patient. Regular follow-up is essential to monitor for disease progression or recurrence.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of lymphoma subtypes and their specific characteristics.
  • Need for accurate staging information to determine treatment protocols.
  • Potential for overlapping symptoms with other lymphomas, necessitating careful differentiation.
  • Documentation must clearly specify the location of lymphadenopathy.

Audit Risk Factors

  • Inadequate documentation of lymph node involvement.
  • Failure to document B-symptoms.
  • Incorrect staging information.
  • Misclassification of lymphoma subtype.

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Comprehensive documentation of diagnosis, staging, treatment plans, and follow-up care.

Common Clinical Scenarios

Diagnosis and management of patients presenting with lymphadenopathy and B-symptoms.

Billing Considerations

Ensure accurate coding of treatment modalities and any complications arising from therapy.

Pathology

Documentation Requirements

Detailed reports on biopsy findings, including immunophenotyping results.

Common Clinical Scenarios

Evaluation of lymph node biopsies for suspected lymphoma.

Billing Considerations

Pathology reports must clearly indicate the subtype of lymphoma for accurate coding.

Coding Guidelines

Inclusion Criteria

Use C82.56 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, staging, and treatment
  • Include any relevant B
  • symptoms and specify the location of lymphadenopathy

Exclusion Criteria

Do NOT use C82.56 When
  • Ensure compliance with the inclusion and exclusion criteria for lymphoma coding

Related ICD-10 Codes

Related CPT Codes

88305CPT Code

Pathology consultation

Clinical Scenario

Used when a biopsy is performed to confirm the diagnosis of diffuse follicle center lymphoma.

Documentation Requirements

Pathology report must include details of the biopsy and immunophenotyping.

Specialty Considerations

Pathologists should ensure accurate reporting of lymphoma subtype.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of lymphomas, including diffuse follicle center lymphoma, which aids in better tracking of disease prevalence and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lymphomas, including diffuse follicle center lymphoma, which aids in better tracking of disease prevalence and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of lymphomas, including diffuse follicle center lymphoma, which aids in better tracking of disease prevalence and treatment outcomes.

Resources

Clinical References

  • •
    American Cancer Society - Lymphoma

Coding & Billing References

  • •
    American Cancer Society - Lymphoma

Frequently Asked Questions

What are the common treatments for diffuse follicle center lymphoma?

Common treatments include chemotherapy, immunotherapy, and radiation therapy, depending on the stage of the disease and the patient's overall health.