ICD-10 Coding for Hodgkin's Disease(C81.00, C81.0A)
Complete ICD-10-CM coding and documentation guide for Hodgkin's Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hodgkin's Disease
C81Primary Range
Hodgkin Lymphoma
This range includes all specific types of Hodgkin Lymphoma, which is the primary condition being documented.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| C81.00 | Nodular lymphocyte predominant Hodgkin lymphoma, unspecified site | Use when the specific site of nodular lymphocyte predominant Hodgkin lymphoma is not specified. |
|
| C81.0A | Hodgkin lymphoma in remission | Use when the patient is in remission but still under surveillance. |
|
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 Hodgkin's disease
Essential facts and insights about Hodgkin's Disease
Primary ICD-10-CM Codes for hodgkin's disease
Decision Criteria
clinical Criteria
- Biopsy confirms nodular lymphocyte predominant Hodgkin lymphoma
Applicable To
- Nodular lymphocyte predominant Hodgkin lymphoma
Excludes
- Non-Hodgkin lymphoma
Clinical Validation Requirements
- Biopsy confirming Reed-Sternberg cells
- Immunohistochemistry showing CD15 and CD30 positivity
Code-Specific Risks
- Misclassification if site is specified but not documented
Coding Notes
- Ensure the histological subtype is documented to avoid unspecified coding.
C81.0A - Hodgkin lymphoma in remission
Use when the patient is in remission but still under surveillance.
Applicable To
- Hodgkin lymphoma in remission
Excludes
- Hodgkin lymphoma, active
Clinical Validation Requirements
- Surveillance imaging showing no active disease
- Clinical documentation of remission status
Coding Notes
Ensure remission status is clearly documented in the medical record.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
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 Hodgkin's Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C81.00.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials due to unspecified coding.
Mitigation Strategy
Train staff on the importance of subtype documentation, Use templates that prompt for subtype entry
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data collection for disease tracking.
Mitigation Strategy
Always use a specific 5-character code to indicate the type and site of Hodgkin lymphoma.
Impact
Incorrect use of remission vs. history codes.
Mitigation Strategy
Ensure clear documentation of remission status and surveillance.
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 Hodgkin's Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hodgkin's Disease
Use these documentation templates to ensure complete and accurate documentation for Hodgkin's Disease. These templates include all required elements for proper coding and billing.
Hodgkin Lymphoma in Remission
Specialty: OncologyRequired Elements
- Histological subtype
- Remission status
- Surveillance plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Hodgkin's Disease? Ask your questions below.