ICD-10 Coding for Classical Hodgkin Lymphoma(C81.1, C81.2)
Complete ICD-10-CM coding and documentation guide for Classical Hodgkin Lymphoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Classical Hodgkin Lymphoma
C81.0-C81.9Primary Range
Hodgkin Lymphoma
This range includes all subtypes of Hodgkin lymphoma, with specific codes for classical Hodgkin lymphoma subtypes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| C81.1 | Nodular sclerosis classical Hodgkin lymphoma | Use when biopsy confirms nodular sclerosis subtype with specific immunophenotyping results. |
|
| C81.2 | Mixed cellularity classical Hodgkin lymphoma | Use when biopsy confirms mixed cellularity subtype. |
|
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 classical Hodgkin lymphoma
Essential facts and insights about Classical Hodgkin Lymphoma
Primary ICD-10-CM Codes for classical hodgkin lymphoma
Decision Criteria
clinical Criteria
- Biopsy with CD30+/CD15+ Reed-Sternberg cells
Applicable To
- Nodular sclerosis subtype
Excludes
- Nodular lymphocyte-predominant Hodgkin lymphoma (C81.0)
Clinical Validation Requirements
- Biopsy confirming nodular sclerosis with CD30+/CD15+ Reed-Sternberg cells
Code-Specific Risks
- Misclassification if subtype is not specified in documentation.
Coding Notes
- Ensure subtype is documented to avoid unspecified coding.
C81.2 - Mixed cellularity classical Hodgkin lymphoma
Use when biopsy confirms mixed cellularity subtype.
Applicable To
- Mixed cellularity subtype
Clinical Validation Requirements
- Biopsy confirming mixed cellularity with characteristic Reed-Sternberg cells
Coding Notes
Document subtype to ensure accurate coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
B symptoms
R50.81Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Classical Hodgkin Lymphoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C81.1.
Impact
Clinical: May affect treatment decisions and prognosis., Regulatory: Could lead to audit issues., Financial: Potential loss of reimbursement for additional complexity.
Mitigation Strategy
Ensure thorough documentation of symptoms., Regularly review patient records for symptom updates.
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Increases risk of audit due to unspecified coding., Data Quality: Decreases data accuracy and quality.
Mitigation Strategy
Ensure documentation specifies the subtype for accurate coding.
Impact
Using unspecified codes when subtype is available.
Mitigation Strategy
Educate providers on importance of specifying subtypes in documentation.
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 Classical Hodgkin Lymphoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Classical Hodgkin Lymphoma
Use these documentation templates to ensure complete and accurate documentation for Classical Hodgkin Lymphoma. These templates include all required elements for proper coding and billing.
Biopsy-confirmed CHL with nodular sclerosis
Specialty: OncologyRequired Elements
- Biopsy results
- Immunophenotyping
- Staging information
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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