ICD-10 Coding for Hodgkin's Lymphoma in Remission(C81.0A, C81.1A, C81.9A)
Complete ICD-10-CM coding and documentation guide for Hodgkin's Lymphoma in Remission. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hodgkin's Lymphoma in Remission
C81.0-C81.9Primary Range
Hodgkin's Lymphoma
This range includes all subtypes of Hodgkin's Lymphoma, including those in remission.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| C81.0A | Nodular lymphocyte predominant Hodgkin's lymphoma, in remission | Use when the patient has nodular lymphocyte predominant HL in remission with ongoing surveillance. |
|
| C81.1A | Nodular sclerosis Hodgkin's lymphoma, in remission | Use when the patient has nodular sclerosis HL in remission confirmed by imaging. |
|
| C81.9A | Unspecified Hodgkin's lymphoma, in remission | Use when the subtype cannot be determined but remission is confirmed. |
|
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 lymphoma in remission
Essential facts and insights about Hodgkin's Lymphoma in Remission
Primary ICD-10-CM Codes for hodgkin's lymphoma in remission
Decision Criteria
clinical Criteria
- Confirmed remission status with surveillance plan
Applicable To
- Nodular lymphocyte predominant HL in remission
Excludes
- Active Hodgkin's lymphoma (C81.0)
Clinical Validation Requirements
- Pathology-confirmed subtype
- Documentation of remission status
- Surveillance plan
Code-Specific Risks
- Incorrectly using history codes instead of remission codes
Coding Notes
- Ensure documentation specifies remission and subtype.
C81.1A - Nodular sclerosis Hodgkin's lymphoma, in remission
Use when the patient has nodular sclerosis HL in remission confirmed by imaging.
Applicable To
- Nodular sclerosis HL in remission
Excludes
- Active Hodgkin's lymphoma (C81.1)
Clinical Validation Requirements
- PET/CT showing complete metabolic response
- No B symptoms for ≥3 months
Coding Notes
Ensure imaging confirms remission.
C81.9A - Unspecified Hodgkin's lymphoma, in remission
Use when the subtype cannot be determined but remission is confirmed.
Applicable To
- Unspecified HL in remission
Excludes
- Active Hodgkin's lymphoma (C81.9)
Clinical Validation Requirements
- Documentation of remission status
- Rationale for unspecified subtype
Coding Notes
Document reason for unspecified subtype.
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 Lymphoma in Remission to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C81.0A.
Impact
Clinical: Misrepresents patient's current health status., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Educate providers on remission coding., Implement EHR prompts for remission documentation.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Ensure documentation specifies remission status and use appropriate remission codes.
Impact
Using history codes instead of remission codes.
Mitigation Strategy
Regular audits and provider education.
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 Lymphoma in Remission, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hodgkin's Lymphoma in Remission
Use these documentation templates to ensure complete and accurate documentation for Hodgkin's Lymphoma in Remission. These templates include all required elements for proper coding and billing.
Oncology follow-up for HL in remission
Specialty: OncologyRequired Elements
- Diagnosis
- Treatment history
- Remission status
- Surveillance plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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