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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.89

C82.89

Billable

Other types of follicular lymphoma, extranodal and solid organ sites

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

Code Description

ICD-10 C82.89 is a billable code used to indicate a diagnosis of other types of follicular lymphoma, extranodal and solid organ sites.

Key Diagnostic Point:

Follicular lymphoma is a type of non-Hodgkin lymphoma characterized by the proliferation of follicle center (germinal center) B-cells. C82.89 specifically refers to cases of follicular lymphoma that occur in extranodal sites or solid organs, which can include the gastrointestinal tract, skin, or other organs outside of lymph nodes. This subtype may present with varied clinical features and can be associated with more aggressive behavior compared to typical nodal follicular lymphoma. Patients may experience B-symptoms such as fever, night sweats, and weight loss, which can indicate more advanced disease. Staging of follicular lymphoma typically follows the Ann Arbor classification, which assesses the extent of disease spread. Treatment protocols may include watchful waiting for indolent cases, chemotherapy, immunotherapy, or targeted therapies, depending on the stage and symptoms. The prognosis can vary significantly based on the specific characteristics of the lymphoma and the patient's overall health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and symptoms across patients
  • Need for precise documentation of extranodal involvement
  • Differentiation from other types of lymphomas
  • Staging complexity and its impact on treatment

Audit Risk Factors

  • Inadequate documentation of extranodal involvement
  • Misclassification of lymphoma subtype
  • Failure to document B-symptoms
  • Inaccurate staging information

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

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

Common Clinical Scenarios

Diagnosis of follicular lymphoma in patients presenting with B-symptoms or incidental findings on imaging.

Billing Considerations

Ensure accurate staging and documentation of extranodal sites to support coding.

Pathology

Documentation Requirements

Histological confirmation of lymphoma subtype and extranodal involvement.

Common Clinical Scenarios

Biopsy results indicating follicular lymphoma with extranodal characteristics.

Billing Considerations

Pathology reports must clearly state the type of lymphoma and any extranodal sites involved.

Coding Guidelines

Inclusion Criteria

Use C82.89 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the lymphoma type, staging, and any associated symptoms

Exclusion Criteria

Do NOT use C82.89 When
  • Exclude cases where the lymphoma is primarily nodal or where another specific lymphoma type is documented

Related ICD-10 Codes

Related CPT Codes

88305CPT Code

Pathology examination of tissue

Clinical Scenario

Used when a biopsy is performed to confirm the diagnosis of follicular lymphoma.

Documentation Requirements

Pathology report must include details of the lymphoma type and staging.

Specialty Considerations

Pathologists should ensure clear documentation of the 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 follicular lymphoma, including extranodal sites, which aids in better tracking of treatment outcomes and epidemiological studies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of follicular lymphoma, including extranodal sites, which aids in better tracking of treatment outcomes and epidemiological studies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of follicular lymphoma, including extranodal sites, which aids in better tracking of treatment outcomes and epidemiological studies.

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 treatment options for C82.89?

Treatment options may include chemotherapy, immunotherapy, targeted therapies, or watchful waiting, depending on the stage and symptoms of the lymphoma.