ICD-10 Coding for History of Lymphoma(Z85.81, Z85.82)
Complete ICD-10-CM coding and documentation guide for History of 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 Lymphoma
Z85.81-Z85.82Primary Range
Personal history of malignant neoplasm of lymphoid, hematopoietic and related tissues
These codes are used to document a patient's history of lymphoma, indicating remission and absence of active disease.
Encounter for follow-up examination after completed treatment for malignant neoplasm
Used for follow-up visits to monitor for recurrence in patients with a history of 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 |
|---|---|---|---|
| Z85.81 | Personal history of non-Hodgkin lymphomas | Use when the patient has a history of non-Hodgkin lymphoma and is in remission. |
|
| Z85.82 | Personal history of Hodgkin lymphoma | Use when the patient has a history of Hodgkin lymphoma and is in remission. |
|
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 lymphoma
Essential facts and insights about History of Lymphoma
Primary ICD-10-CM Codes for history of lymphoma
Decision Criteria
clinical Criteria
- Patient is in remission with no active treatment.
documentation Criteria
- Remission status and absence of treatment must be documented.
Applicable To
- History of diffuse large B-cell lymphoma (DLBCL)
Excludes
- Current non-Hodgkin lymphoma (C82-C85)
Clinical Validation Requirements
- Documentation of remission status
- No current treatment
- Normal imaging and lab results
Code-Specific Risks
- Incorrectly using active lymphoma codes
- Lack of remission documentation
Coding Notes
- Ensure documentation clearly states 'history of' and remission status.
Z85.82 - Personal history of Hodgkin lymphoma
Use when the patient has a history of Hodgkin lymphoma and is in remission.
Applicable To
- History of Hodgkin's disease
Excludes
- Current Hodgkin lymphoma (C81)
Clinical Validation Requirements
- Remission status documented
- No current treatment
- Normal follow-up imaging
Coding Notes
Ensure documentation specifies 'history of' and remission status.
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 Lymphoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z85.81.
Impact
Clinical: Inaccurate patient records., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always document remission status., Use templates to ensure completeness.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use Z85.81 or Z85.82 for history of lymphoma in remission.
Impact
Using active codes for patients in remission can trigger audits.
Mitigation Strategy
Ensure documentation supports use of history codes.
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 Lymphoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Lymphoma
Use these documentation templates to ensure complete and accurate documentation for History of Lymphoma. These templates include all required elements for proper coding and billing.
Follow-up visit for lymphoma in remission
Specialty: OncologyRequired Elements
- Patient history
- Remission status
- Surveillance plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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