ICD-10 Coding for Lymphoplasmacytic Lymphoma(C88.00)
Complete ICD-10-CM coding and documentation guide for Lymphoplasmacytic Lymphoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Lymphoplasmacytic Lymphoma
C88.0-C88.9Primary Range
Immunoproliferative diseases
This range includes codes for Waldenström macroglobulinemia, which is synonymous with lymphoplasmacytic lymphoma.
Key Information: ICD-10 code for lymphoplasmacytic lymphoma
Essential facts and insights about Lymphoplasmacytic Lymphoma
Primary ICD-10-CM Code for lymphoplasmacytic lymphoma
Decision Criteria
clinical Criteria
- Presence of MYD88 mutation
documentation Criteria
- Detailed bone marrow biopsy report
Applicable To
- Lymphoplasmacytic lymphoma with IgM monoclonal gammopathy
Excludes
- Multiple myeloma (C90.00)
Clinical Validation Requirements
- Serum IgM ≥3 g/dL
- Bone marrow involvement >10%
- MYD88 L265P mutation
Code-Specific Risks
- Confusion with other B-cell lymphomas
- Incorrect sequencing with history codes
Coding Notes
- Ensure documentation specifies IgM levels and bone marrow findings.
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 Lymphoplasmacytic Lymphoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C88.00.
Impact
Clinical: Misdiagnosis risk, Regulatory: Non-compliance with coding standards, Financial: Potential reimbursement denial
Mitigation Strategy
Ensure mutation testing is documented, Cross-check lab results
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Potential audit issues, Data Quality: Inaccurate clinical data
Mitigation Strategy
Verify IgM levels and MYD88 mutation status.
Impact
Using non-specific codes for LPL can trigger audits.
Mitigation Strategy
Ensure detailed documentation and correct code selection.
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 Lymphoplasmacytic Lymphoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Lymphoplasmacytic Lymphoma
Use these documentation templates to ensure complete and accurate documentation for Lymphoplasmacytic Lymphoma. These templates include all required elements for proper coding and billing.
New diagnosis of LPL
Specialty: HematologyRequired Elements
- IgM level
- Bone marrow biopsy results
- MYD88 mutation status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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