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v1.0.0
ICD-10 Guide
ICD-10 CodesC82.92

C82.92

Billable

Follicular lymphoma, unspecified, intrathoracic lymph nodes

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

Code Description

ICD-10 C82.92 is a billable code used to indicate a diagnosis of follicular lymphoma, unspecified, intrathoracic lymph nodes.

Key Diagnostic Point:

Follicular lymphoma is a type of non-Hodgkin lymphoma characterized by the proliferation of B-lymphocytes in a follicular pattern. It is typically indolent but can transform into a more aggressive form. The designation 'unspecified' indicates that the specific characteristics of the lymphoma have not been detailed, which can complicate treatment decisions. When the lymphoma is located in the intrathoracic lymph nodes, it may present with symptoms such as cough, chest pain, or respiratory distress due to lymph node enlargement. Staging of follicular lymphoma is crucial, as it influences treatment options and prognosis. The Ann Arbor staging system is commonly used, with stages I-IV indicating the extent of disease spread. B-symptoms, including fever, night sweats, and weight loss, may also be present and are important for assessing disease severity. Treatment protocols often involve watchful waiting for early-stage disease, while advanced stages may require chemotherapy, immunotherapy, or radiation therapy. The management of follicular lymphoma is complex and requires a multidisciplinary approach.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for precise staging and documentation
  • Potential for transformation to aggressive lymphoma
  • Differentiation from other types of lymphomas

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Detailed clinical notes on staging, treatment plans, and patient symptoms.

Common Clinical Scenarios

Diagnosis of follicular lymphoma, management of treatment side effects, and follow-up care.

Billing Considerations

Ensure accurate staging and documentation of B-symptoms to guide treatment decisions.

Radiology

Documentation Requirements

Imaging reports detailing lymph node involvement and any changes over time.

Common Clinical Scenarios

CT scans for staging and monitoring response to treatment.

Billing Considerations

Clear documentation of imaging findings related to intrathoracic lymph nodes.

Coding Guidelines

Inclusion Criteria

Use C82.92 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the lymphoma type, staging, and any associated symptoms
  • Include details on treatment plans and responses

Exclusion Criteria

Do NOT use C82.92 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96413CPT Code

Chemotherapy administration, intravenous, push technique

Clinical Scenario

Used for administering chemotherapy to patients with C82.92.

Documentation Requirements

Document the specific chemotherapy agent and dosage.

Specialty Considerations

Oncology specialists must ensure accurate coding of chemotherapy regimens.

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, improving the accuracy of data collection and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of follicular lymphoma, improving the accuracy of data collection and treatment tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of follicular lymphoma, improving the accuracy of data collection and treatment tracking.

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 follicular lymphoma?

Common symptoms include painless swelling of lymph nodes, fever, night sweats, weight loss, and fatigue. Some patients may experience respiratory symptoms if intrathoracic lymph nodes are involved.