ICD-10 Coding for Lymphoma Cancer(C81.90, C85.90)
Complete ICD-10-CM coding and documentation guide for Lymphoma Cancer. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Lymphoma Cancer
C81-C85Primary Range
Malignant neoplasms of lymphoid, hematopoietic and related tissue
This range includes all primary lymphoma diagnoses, covering both Hodgkin and Non-Hodgkin types.
Secondary and unspecified malignant neoplasm of lymph nodes
Used for coding secondary lymph node involvement in lymphoma cases.
Personal history of malignant neoplasm of lymphoid, hematopoietic and related tissue
Applicable for patients with a history of lymphoma 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 |
|---|---|---|---|
| C81.90 | Hodgkin lymphoma, unspecified | Use when Hodgkin lymphoma is confirmed but not further specified. |
|
| C85.90 | Non-Hodgkin lymphoma, unspecified | Use when Non-Hodgkin lymphoma is diagnosed without specific histologic classification. |
|
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 lymphoma cancer
Essential facts and insights about Lymphoma Cancer
Primary ICD-10-CM Codes for lymphoma cancer
Decision Criteria
clinical Criteria
- Presence of Reed-Sternberg cells without subtype specification.
Applicable To
- Hodgkin's disease NOS
Excludes
- Non-Hodgkin lymphoma (C85.-)
Clinical Validation Requirements
- Pathology report confirming Reed-Sternberg cells
- Absence of specified subtype
Code-Specific Risks
- Risk of under-coding if subtype is known but not documented.
Coding Notes
- Ensure pathology reports are reviewed for subtype specification.
C85.90 - Non-Hodgkin lymphoma, unspecified
Use when Non-Hodgkin lymphoma is diagnosed without specific histologic classification.
Applicable To
- Non-Hodgkin's lymphoma NOS
Excludes
- Hodgkin lymphoma (C81.-)
Clinical Validation Requirements
- Histology report lacking specific subtype
- Absence of Reed-Sternberg cells
Coding Notes
Verify histology reports for specific subtype documentation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Lymphoma Cancer to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C81.90.
Impact
Clinical: Inaccurate representation of patient's current health status., Regulatory: Non-compliance with coding guidelines., Financial: Potential loss of risk adjustment factors.
Mitigation Strategy
Regularly update patient records with remission status., Use standardized templates for follow-up visits.
Impact
Reimbursement: May affect DRG assignment and reimbursement rates., Compliance: Non-compliance with specificity requirements., Data Quality: Decreased accuracy in health records.
Mitigation Strategy
Ensure specific subtype is documented and coded appropriately.
Impact
Failure to document specific lymphoma subtypes.
Mitigation Strategy
Implement mandatory review of pathology reports before 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 Lymphoma Cancer, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Lymphoma Cancer
Use these documentation templates to ensure complete and accurate documentation for Lymphoma Cancer. These templates include all required elements for proper coding and billing.
Initial Diagnosis of Lymphoma
Specialty: OncologyRequired Elements
- Primary site
- Histologic subtype
- Stage
- Biomarker status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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