ICD-10 Coding for Classic Hodgkin Lymphoma(C81.0, C81.1, C81.9)
Complete ICD-10-CM coding and documentation guide for Classic Hodgkin Lymphoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Classic Hodgkin Lymphoma
C81.0-C81.9Primary Range
Classical Hodgkin lymphoma subtypes
This range includes all subtypes of classical Hodgkin lymphoma, which require specific histologic documentation for accurate coding.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| C81.0 | Nodular lymphocyte predominant Hodgkin lymphoma | Use when biopsy confirms nodular lymphocyte predominant subtype. |
|
| C81.1 | Nodular sclerosis classical Hodgkin lymphoma | Use when biopsy confirms nodular sclerosis subtype. |
|
| C81.9 | Hodgkin lymphoma, unspecified | Use when subtype is not specified in documentation. |
|
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 classic Hodgkin lymphoma
Essential facts and insights about Classic Hodgkin Lymphoma
Primary ICD-10-CM Codes for classic hodgkin lymphoma
Decision Criteria
clinical Criteria
- Biopsy confirms nodular lymphocyte predominant subtype.
Applicable To
- Nodular lymphocyte predominant Hodgkin lymphoma
Excludes
- Non-Hodgkin lymphoma
Clinical Validation Requirements
- Histologic confirmation of nodular lymphocyte predominant subtype
- Presence of Reed-Sternberg cells
Code-Specific Risks
- Misclassification if subtype is not confirmed
Coding Notes
- Ensure subtype is documented to avoid unspecified coding.
C81.1 - Nodular sclerosis classical Hodgkin lymphoma
Use when biopsy confirms nodular sclerosis subtype.
Applicable To
- Nodular sclerosis classical Hodgkin lymphoma
Excludes
- Non-Hodgkin lymphoma
Clinical Validation Requirements
- Histologic confirmation of nodular sclerosis subtype
- Presence of Reed-Sternberg cells
Coding Notes
Ensure subtype is documented to avoid unspecified coding.
C81.9 - Hodgkin lymphoma, unspecified
Use when subtype is not specified in documentation.
Applicable To
- Hodgkin lymphoma, unspecified
Excludes
- Non-Hodgkin lymphoma
Clinical Validation Requirements
- Lack of specific histologic subtype documentation
Coding Notes
Query for more specific subtype if possible.
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 Classic Hodgkin Lymphoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C81.0.
Impact
Clinical: Inaccurate staging and treatment planning., Regulatory: Non-compliance with staging documentation requirements., Financial: Potential for incorrect DRG assignment.
Mitigation Strategy
Ensure B symptoms are assessed and documented at each visit.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Ensure documentation specifies subtype and use the appropriate specific code.
Impact
Use of unspecified codes when specific subtypes are documented.
Mitigation Strategy
Implement regular audits of pathology reports to ensure subtype documentation.
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 Classic Hodgkin Lymphoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Classic Hodgkin Lymphoma
Use these documentation templates to ensure complete and accurate documentation for Classic Hodgkin Lymphoma. These templates include all required elements for proper coding and billing.
Initial diagnosis of classical Hodgkin lymphoma
Specialty: OncologyRequired Elements
- Diagnosis confirmation
- Histologic subtype
- Staging
- B symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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