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ICD-10 Coding for Hodgkin's Lymphoma(C81.00, C81.10, C81.3A)

Complete ICD-10-CM coding and documentation guide for Hodgkin's Lymphoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Hodgkin DiseaseHodgkin's Disease

Related ICD-10 Code Ranges

Complete code families applicable to Hodgkin's Lymphoma

C81Primary Range

Hodgkin's lymphoma

This range includes all subtypes of Hodgkin's lymphoma, which are essential for accurate diagnosis and treatment coding.

Secondary and unspecified malignant neoplasm of lymph nodes

Used for coding nodal involvement in Hodgkin's lymphoma.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
C81.00Nodular lymphocyte predominant Hodgkin lymphoma, unspecified siteUse when the subtype is nodular lymphocyte predominant and the site is unspecified.
  • Histological confirmation of nodular lymphocyte predominant subtype
C81.10Nodular sclerosis classical Hodgkin lymphoma, unspecified siteUse when the subtype is nodular sclerosis and the site is unspecified.
  • Histological confirmation of nodular sclerosis subtype
C81.3ALymphocyte-depleted Hodgkin lymphoma in remissionUse for lymphocyte-depleted Hodgkin lymphoma documented as in remission.
  • Documentation of remission status confirmed by PET-CT

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

Essential facts and insights about Hodgkin's Lymphoma

The ICD-10 code for Hodgkin's lymphoma depends on the subtype, such as C81.00 for nodular lymphocyte predominant.

Primary ICD-10-CM Codes for hodgkin's lymphoma

Nodular lymphocyte predominant Hodgkin lymphoma, unspecified site
Billable Code

Decision Criteria

clinical Criteria

  • Histological confirmation of nodular lymphocyte predominant subtype

Applicable To

  • Nodular lymphocyte predominant Hodgkin lymphoma

Excludes

Clinical Validation Requirements

  • Histological confirmation of nodular lymphocyte predominant subtype

Code-Specific Risks

  • Risk of undercoding if site is not specified.

Coding Notes

  • Ensure histological confirmation is documented.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Follicular lymphoma, unspecified site

C82.00
Differentiate based on histological findings specific to Hodgkin's vs. non-Hodgkin's lymphoma.

Follicular lymphoma grade I, unspecified site

C82.10
Differentiate based on histological findings specific to Hodgkin's vs. non-Hodgkin's lymphoma.

Lymphocyte-depleted Hodgkin lymphoma, unspecified site

C81.30
Differentiate based on remission status documentation.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Hodgkin's Lymphoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C81.00.

Impact

Clinical: May lead to inappropriate treatment planning., Regulatory: Non-compliance with coding updates., Financial: Potential for incorrect billing and reimbursement.

Mitigation Strategy

Regularly update remission status in patient records, Use updated remission codes post-2025

Impact

Reimbursement: May result in lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases the accuracy of clinical data.

Mitigation Strategy

Ensure histological subtype is documented and use the specific code.

Impact

Failure to document remission status accurately can lead to audit issues.

Mitigation Strategy

Ensure remission status is updated and documented in patient records.

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, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Hodgkin's Lymphoma

Use these documentation templates to ensure complete and accurate documentation for Hodgkin's Lymphoma. These templates include all required elements for proper coding and billing.

Initial Diagnosis of Hodgkin's Lymphoma

Specialty: Oncology

Required Elements

  • Patient history
  • Physical examination findings
  • Imaging results
  • Biopsy results

Example Documentation

Patient presents with enlarged cervical lymph nodes. Biopsy confirms nodular sclerosis classical Hodgkin lymphoma, stage IIB.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Hodgkin lymphoma diagnosed.
Good Documentation Example
Nodular sclerosis classical Hodgkin lymphoma, stage IIB, confirmed by biopsy.
Explanation
The good example provides specific subtype and staging, which are essential for accurate coding.

Need help with ICD-10 coding for Hodgkin's Lymphoma? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

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