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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.68

C82.68

Billable

Cutaneous follicle center lymphoma, lymph nodes of multiple sites

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

Code Description

ICD-10 C82.68 is a billable code used to indicate a diagnosis of cutaneous follicle center lymphoma, lymph nodes of multiple sites.

Key Diagnostic Point:

Cutaneous follicle center lymphoma (CFCL) is a subtype of non-Hodgkin lymphoma that primarily affects the skin and can involve lymph nodes at multiple sites. It is characterized by the proliferation of B-cells that originate from the follicle center of lymphoid tissue. Patients may present with skin lesions that can vary in appearance, including plaques, nodules, or tumors. The disease can be indolent or aggressive, and its progression may lead to lymphadenopathy, particularly in the lymph nodes of multiple sites. Diagnosis typically involves a combination of clinical evaluation, histopathological examination of skin biopsies, and imaging studies to assess lymph node involvement. Staging is crucial for determining the extent of the disease and guiding treatment decisions. B-symptoms, such as fever, night sweats, and weight loss, may be present in some patients, indicating a more advanced disease state. Treatment options may include localized therapies, systemic chemotherapy, immunotherapy, or targeted therapies, depending on the stage and aggressiveness of the lymphoma.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other types of lymphomas
  • Need for accurate staging based on clinical findings
  • Documentation of B-symptoms and their impact on treatment
  • Variability in treatment protocols based on patient presentation

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Detailed clinical notes, pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Diagnosis and management of CFCL, staging evaluations, and treatment response assessments.

Billing Considerations

Ensure comprehensive documentation of symptoms, treatment responses, and follow-up care.

Dermatology

Documentation Requirements

Skin biopsy reports, clinical photographs, and treatment notes.

Common Clinical Scenarios

Evaluation of skin lesions, biopsy for diagnosis, and management of cutaneous manifestations.

Billing Considerations

Document the appearance and location of skin lesions thoroughly.

Coding Guidelines

Inclusion Criteria

Use C82.68 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the diagnosis, staging, and any associated symptoms
  • Include specific details about lymph node involvement and treatment plans

Exclusion Criteria

Do NOT use C82.68 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

88305CPT Code

Pathology examination of tissue

Clinical Scenario

Used for biopsy confirmation of CFCL.

Documentation Requirements

Pathology report detailing the findings.

Specialty Considerations

Ensure the report includes specific details about the lymphoma subtype.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of lymphomas, including CFCL, which aids in better tracking and management of the disease.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of lymphomas, including CFCL, which aids in better tracking and management of the disease.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of lymphomas, including CFCL, which aids in better tracking and management of the disease.

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 symptoms of cutaneous follicle center lymphoma?

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