ICD-10 Coding for B-cell Lymphoproliferative Disorder(C83.3, D47.2)
Complete ICD-10-CM coding and documentation guide for B-cell Lymphoproliferative Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to B-cell Lymphoproliferative Disorder
C81-C96Primary Range
Malignant neoplasms of lymphoid, hematopoietic and related tissue
This range includes various types of lymphomas, including B-cell lymphomas.
Monoclonal gammopathy
This code is used for monoclonal B-cell lymphocytosis, a precursor condition to more severe lymphoproliferative disorders.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| C83.3 | Diffuse large B-cell lymphoma | Use when documentation specifies diffuse large B-cell lymphoma without indicating primary CNS involvement. |
|
| D47.2 | Monoclonal gammopathy | Use for asymptomatic monoclonal B-cell populations with no extramedullary involvement. |
|
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 B-cell lymphoproliferative disorder
Essential facts and insights about B-cell Lymphoproliferative Disorder
Primary ICD-10-CM Codes for brother cell lymphoproliferative disorder
Decision Criteria
documentation Criteria
- Presence of 'primary' in CNS lymphoma documentation
Applicable To
- Diffuse large B-cell lymphoma not specified as primary
Excludes
- Primary central nervous system lymphoma (C83.31)
Clinical Validation Requirements
- Histopathological confirmation of large B-cell morphology
- Immunohistochemistry showing CD20 positivity
Code-Specific Risks
- Misclassification if 'primary' is not specified for CNS involvement
Coding Notes
- Ensure 'primary' is documented for CNS cases to avoid incorrect coding.
D47.2 - Monoclonal gammopathy
Use for asymptomatic monoclonal B-cell populations with no extramedullary involvement.
Applicable To
- Monoclonal B-cell lymphocytosis
Excludes
- Chronic lymphocytic leukemia (C91.1)
Clinical Validation Requirements
- Flow cytometry showing monoclonal B-cell population <5x10⁹/L
- Absence of lymphadenopathy or organomegaly
Coding Notes
Monitor B-cell counts to prevent misclassification as CLL.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of non-Hodgkin lymphoma
Z85.72Differential 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 B-cell Lymphoproliferative Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C83.3.
Impact
Clinical: May lead to incorrect diagnosis and treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Ensure flow cytometry results are included in documentation.
Impact
Reimbursement: Incorrect DRG assignment leading to reimbursement issues., Compliance: Potential non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Query provider to confirm if CNS involvement is primary.
Impact
Risk of incorrect coding without 'primary' documentation.
Mitigation Strategy
Implement provider queries for clarification.
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 B-cell Lymphoproliferative Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for B-cell Lymphoproliferative Disorder
Use these documentation templates to ensure complete and accurate documentation for B-cell Lymphoproliferative Disorder. These templates include all required elements for proper coding and billing.
Monitoring Monoclonal B-cell Lymphocytosis
Specialty: HematologyRequired Elements
- Flow cytometry results
- B-cell count
- Absence of lymphadenopathy
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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