ICD-10 Coding for Non-Hodgkin Lymphoma(C85.90, C83.30, C83.3A)
Complete ICD-10-CM coding and documentation guide for Non-Hodgkin Lymphoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Non-Hodgkin Lymphoma
C82-C86Primary Range
Non-Hodgkin Lymphomas
This range includes all specific types of Non-Hodgkin Lymphomas, covering various subtypes and grades.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| C85.90 | Non-Hodgkin lymphoma, unspecified | Use when the specific subtype of NHL is not documented. |
|
| C83.30 | Diffuse large B-cell lymphoma, unspecified site | Use for active DLBCL when the site is not specified. |
|
| C83.3A | Diffuse large B-cell lymphoma in remission | Use when DLBCL is in remission. |
|
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 Non-Hodgkin Lymphoma
Essential facts and insights about Non-Hodgkin Lymphoma
Primary ICD-10-CM Codes for lymphoma non hodgkin
Decision Criteria
documentation Criteria
- Lack of specific subtype documentation
Applicable To
- Unspecified NHL
Excludes
- Specific subtypes of NHL
Clinical Validation Requirements
- Diagnosis of NHL without further specification
Code-Specific Risks
- Risk of under-documentation leading to incorrect coding.
Coding Notes
- Ensure to specify the subtype if known to avoid using unspecified codes.
C83.30 - Diffuse large B-cell lymphoma, unspecified site
Use for active DLBCL when the site is not specified.
Applicable To
- DLBCL
Excludes
- DLBCL in remission
Clinical Validation Requirements
- Biopsy confirming DLBCL
- Immunohistochemistry showing CD20+
Coding Notes
Ensure active disease status is documented.
C83.3A - Diffuse large B-cell lymphoma in remission
Use when DLBCL is in remission.
Applicable To
- DLBCL in remission
Excludes
- Active DLBCL
Clinical Validation Requirements
- Remission status confirmed by PET-CT
Coding Notes
Ensure remission is clearly documented.
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 Non-Hodgkin Lymphoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C85.90.
Impact
Clinical: May lead to inappropriate treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential for incorrect billing.
Mitigation Strategy
Always specify if the disease is active or in remission., Use appropriate history codes when applicable.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases the accuracy of patient records.
Mitigation Strategy
Always document and code the specific subtype of NHL.
Impact
Failure to document remission status accurately.
Mitigation Strategy
Implement regular audits of oncology 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 Non-Hodgkin Lymphoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Non-Hodgkin Lymphoma
Use these documentation templates to ensure complete and accurate documentation for Non-Hodgkin Lymphoma. These templates include all required elements for proper coding and billing.
Oncology Progress Note
Specialty: OncologyRequired Elements
- Subjective symptoms
- Objective findings
- Assessment
- Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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