ICD-10 Coding for History of Hodgkin's Lymphoma(Z85.71, C81.9)
Complete ICD-10-CM coding and documentation guide for History of Hodgkin's Lymphoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Hodgkin's Lymphoma
Z85.71Primary Range
Personal history of Hodgkin lymphoma
Used to indicate a patient's history of Hodgkin lymphoma when there is no active disease.
Follow-up examination after treatment for malignant neoplasm
Used for follow-up visits post-treatment of Hodgkin lymphoma.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z85.71 | Personal history of Hodgkin lymphoma | Use when the patient has a history of Hodgkin lymphoma and is no longer undergoing treatment. |
|
| C81.9 | Hodgkin lymphoma, unspecified | Use when the patient has active Hodgkin lymphoma. |
|
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 history of Hodgkin's lymphoma
Essential facts and insights about History of Hodgkin's Lymphoma
Primary ICD-10-CM Codes for history of hodgkin's lymphoma
Decision Criteria
clinical Criteria
- Patient is in remission with no active treatment.
documentation Criteria
- Documentation includes last treatment date and current remission status.
Applicable To
- History of Hodgkin's disease
Excludes
- Current Hodgkin lymphoma (C81.9)
Clinical Validation Requirements
- No evidence of active disease
- Completed treatment
- Documented remission status
Code-Specific Risks
- Misclassification if active disease is present
Coding Notes
- Ensure documentation clearly states 'history of' to avoid confusion with active disease.
C81.9 - Hodgkin lymphoma, unspecified
Use when the patient has active Hodgkin lymphoma.
Applicable To
- Active Hodgkin's disease
Excludes
- History of Hodgkin lymphoma (Z85.71)
Clinical Validation Requirements
- Active disease confirmed by biopsy or imaging
- Ongoing treatment or surveillance
Coding Notes
Ensure active disease is documented before using this code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Follow-up examination after treatment for malignant neoplasm
Z08Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Hodgkin's Lymphoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z85.71.
Impact
Clinical: Leads to incorrect treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for incorrect billing and reimbursement.
Mitigation Strategy
Ensure all clinical notes include remission status., Regularly update patient records with current status.
Impact
Reimbursement: Incorrect coding may affect reimbursement rates., Compliance: May result in compliance issues during audits., Data Quality: Impacts the accuracy of patient records.
Mitigation Strategy
Verify treatment status and use Z85.71 if the patient is in remission.
Impact
Using Z85.71 without confirming remission status.
Mitigation Strategy
Regular audits of patient records to ensure accurate coding.
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 History of Hodgkin's Lymphoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Hodgkin's Lymphoma
Use these documentation templates to ensure complete and accurate documentation for History of Hodgkin's Lymphoma. These templates include all required elements for proper coding and billing.
Routine follow-up for a patient with history of Hodgkin lymphoma
Specialty: OncologyRequired Elements
- Diagnosis history
- Last treatment date
- Current remission status
- Follow-up plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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