ICD-10 Coding for T-Cell Lymphoma(C84.A, C86.6)
Complete ICD-10-CM coding and documentation guide for T-Cell Lymphoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to T-Cell Lymphoma
C84.A-C84.9Primary Range
T-cell lymphomas including cutaneous and peripheral subtypes
This range covers the primary ICD-10 codes for various T-cell lymphoma subtypes.
Other specified types of T-cell lymphomas
Includes specific types like primary cutaneous CD30+ T-cell 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 |
|---|---|---|---|
| C84.A | Cutaneous T-cell lymphoma, unspecified | Use when cutaneous T-cell lymphoma is diagnosed without further subtype specification. |
|
| C86.6 | Primary cutaneous CD30+ T-cell proliferations | Use when CD30+ cutaneous T-cell lymphoma 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 T-cell lymphoma
Essential facts and insights about T-Cell Lymphoma
Primary ICD-10-CM Codes for type cell lymphoma
Decision Criteria
clinical Criteria
- Biopsy confirms cutaneous T-cell lymphoma without specific subtype.
Applicable To
- Mycosis fungoides
- Sézary syndrome
Excludes
- Peripheral T-cell lymphoma (C84.4)
Clinical Validation Requirements
- Skin biopsy confirming T-cell origin
- Absence of CD30 positivity
Code-Specific Risks
- Risk of unspecified coding leading to denials.
Coding Notes
- Ensure documentation specifies 'cutaneous' and excludes systemic involvement.
C86.6 - Primary cutaneous CD30+ T-cell proliferations
Use when CD30+ cutaneous T-cell lymphoma is confirmed.
Applicable To
- Primary cutaneous anaplastic large cell lymphoma
Excludes
- Systemic anaplastic large cell lymphoma (C84.7)
Clinical Validation Requirements
- Immunohistochemistry showing CD30 positivity
- Exclusion of systemic involvement
Coding Notes
Documentation must confirm CD30 positivity and primary cutaneous origin.
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 T-Cell Lymphoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C84.A.
Impact
Clinical: Misclassification of lymphoma subtype., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Ensure pathology reports include CD30 status., Train staff on documentation requirements.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Impacts accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies subtype or CD30 status.
Impact
Use of unspecified codes without supporting documentation.
Mitigation Strategy
Ensure detailed documentation of lymphoma subtype and CD30 status.
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 T-Cell Lymphoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for T-Cell Lymphoma
Use these documentation templates to ensure complete and accurate documentation for T-Cell Lymphoma. These templates include all required elements for proper coding and billing.
Primary cutaneous CD30+ ALCL diagnosis
Specialty: DermatologyRequired Elements
- CD30 positivity
- Primary cutaneous origin
- Exclusion of systemic involvement
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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