ICD-10 Coding for Cervical Lymph Node(R59.0, C76.0)
Complete ICD-10-CM coding and documentation guide for Cervical Lymph Node. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cervical Lymph Node
R59.0-R59.9Primary Range
Enlarged lymph nodes
This range includes codes for localized and generalized lymphadenopathy, relevant for non-malignant conditions.
Malignant neoplasm of lymph nodes
This range includes codes for malignant neoplasms of lymph nodes, relevant for metastatic conditions.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R59.0 | Localized enlarged lymph nodes | Use when lymphadenopathy is confined to a specific region, such as cervical nodes. |
|
| C76.0 | Malignant neoplasm of head, face and neck | Use when cervical lymph nodes are metastatic with unknown primary in head/neck. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for cervical lymphadenopathy
Essential facts and insights about Cervical Lymph Node
Primary ICD-10-CM Codes for cervical lymph node
Decision Criteria
clinical Criteria
- Lymphadenopathy confined to cervical region
Applicable To
- Localized cervical lymphadenopathy
Excludes
- Generalized lymphadenopathy (R59.1)
Clinical Validation Requirements
- Physical exam showing localized lymph node enlargement
- Imaging confirming localized involvement
Code-Specific Risks
- Incorrectly coding generalized lymphadenopathy as localized
Coding Notes
- Ensure documentation specifies the localized nature of the lymphadenopathy.
C76.0 - Malignant neoplasm of head, face and neck
Use when cervical lymph nodes are metastatic with unknown primary in head/neck.
Applicable To
- Metastatic cervical lymph nodes from unknown primary
Excludes
- Primary neoplasm of known site
Clinical Validation Requirements
- Biopsy confirming metastatic carcinoma
- Imaging suggesting head/neck primary
Coding Notes
Ensure thorough documentation of diagnostic procedures confirming metastasis.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cervical Lymph Node to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R59.0.
Impact
Clinical: May lead to inappropriate treatment planning., Regulatory: Non-compliance with coding guidelines., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Ensure thorough review of imaging and biopsy results, Document clinical suspicion clearly
Impact
Reimbursement: May lead to denied claims due to lack of specificity., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Query for specific details to use R59.0 or R59.1 appropriately.
Impact
Risk of audits due to non-specific coding of lymphadenopathy.
Mitigation Strategy
Ensure detailed documentation of lymph node characteristics and suspected primary sites.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Cervical Lymph Node, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cervical Lymph Node
Use these documentation templates to ensure complete and accurate documentation for Cervical Lymph Node. These templates include all required elements for proper coding and billing.
Oncology Progress Note
Specialty: OncologyRequired Elements
- Location and size of lymph nodes
- Imaging findings
- Biopsy results
- Staging information
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Cervical Lymph Node? Ask your questions below.