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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.67

C82.67

Billable

Cutaneous follicle center lymphoma, spleen

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

Code Description

ICD-10 C82.67 is a billable code used to indicate a diagnosis of cutaneous follicle center lymphoma, spleen.

Key Diagnostic Point:

Cutaneous follicle center lymphoma (CFCL) is a subtype of non-Hodgkin lymphoma that primarily affects the skin and is characterized by the proliferation of B-cells in the follicle center. When CFCL involves the spleen, it indicates a more systemic manifestation of the disease. Patients may present with skin lesions, lymphadenopathy, and splenomegaly. The disease is often indolent, but it can transform into a more aggressive form. Staging is crucial, typically following the Ann Arbor classification, which assesses the extent of lymphatic involvement. B-symptoms, including fever, night sweats, and weight loss, may be present and are indicative of a more advanced disease state. Treatment protocols may include localized therapies such as radiation for skin lesions, systemic therapies like chemotherapy, immunotherapy, or targeted therapies depending on the stage and symptoms. Regular monitoring and follow-up are essential to manage the disease effectively and to adjust treatment as necessary.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of lymphoma staging and classification.
  • Differentiation from other types of lymphomas.
  • Need for accurate documentation of symptoms and treatment.
  • Potential for transformation to aggressive lymphoma.

Audit Risk Factors

  • Inadequate documentation of B-symptoms.
  • Failure to document staging accurately.
  • Misclassification of lymphoma subtype.
  • Lack of follow-up documentation.

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Detailed clinical notes on staging, treatment plans, and follow-up care.

Common Clinical Scenarios

Diagnosis and management of CFCL, treatment response evaluation.

Billing Considerations

Need for interdisciplinary communication regarding treatment plans.

Dermatology

Documentation Requirements

Photographic evidence of skin lesions, biopsy results, and treatment responses.

Common Clinical Scenarios

Initial diagnosis of skin lesions, management of cutaneous symptoms.

Billing Considerations

Documentation of skin involvement and response to topical therapies.

Coding Guidelines

Inclusion Criteria

Use C82.67 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, staging, and any associated symptoms
  • Include details on treatment plans and responses to therapy

Exclusion Criteria

Do NOT use C82.67 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

88305CPT Code

Pathology examination of tissue

Clinical Scenario

Used for biopsy of skin lesions suspected to be CFCL.

Documentation Requirements

Pathology report and clinical notes detailing the lesion.

Specialty Considerations

Dermatology and oncology must collaborate on biopsy results.

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. C82.67 provides a clear distinction for cutaneous follicle center lymphoma with splenic involvement.

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. C82.67 provides a clear distinction for cutaneous follicle center lymphoma with splenic involvement.

Reimbursement & Billing Impact

reimbursement processes. C82.67 provides a clear distinction for cutaneous follicle center lymphoma with splenic involvement.

Resources

Clinical References

  • •
    American Cancer Society - Lymphoma

Coding & Billing References

  • •
    American Cancer Society - Lymphoma

Frequently Asked Questions

What are the common symptoms of cutaneous follicle center lymphoma?

Common symptoms include skin lesions, lymphadenopathy, splenomegaly, and B-symptoms such as fever, night sweats, and weight loss.