ICD-10 Codes for Reporting Hodgkin's Lymphoma (Hodgkin's disease)
Hodgkin lymphoma is an uncommon cancer that develops in the lymphatic system. Here is a detailed overview of the condition along with the ICD-10 codes.
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Hodgkin's lymphoma is a type of cancer that develops in the lymphatic system, which is a network of vessels and glands spread throughout your body. The lymphatic system (which is part of your immune system)is a network of nodes (knots of tissue) connected by vessels that drain fluids and other waste products from the body and fight infections (caused by bacteria, viruses, and fungi). The lymph nodes act as tiny filters, straining out foreign organisms and cells. Clear fluid called “lymph� flows through the lymphatic vessels
and
contains
infection-fighting
white
blood
cells,
known
as
lymphocytes. The condition is a relatively aggressive type of cancer that quickly spreads throughout the body, if left untreated. Treatment modality for the same will depend on the general health and age of the patient and how far the cancer has spread through the body. Top treatment modalities include chemotherapy, followed by radiotherapy or chemotherapy alone. Surgery is generally not recommended as a treatment option for the condition. With appropriate and timely treatment, the serious complications caused by Hodgkin's lymphoma can be reversed. It is important for physicians to instruct their medical coding outsourcing service providers or clinical staff to be specific and document their diagnosis and medical procedures with accurate medical codes. Also called Hodgkin disease (HD), the condition can develop at any age, but it most commonly affects people between 20-40 years and those over 55 years. In fact, the chances of occurrence are more common in men than women. The exact cause of Hodgkin lymphoma is unknown. However, your risk of getting infected by this condition increases if you suffer from a medical condition that weakens your immune system,DNA mutations or changes, if you consume immunosuppressant medications or if you have been exposed to a common virus called the Epstein-Barr virus (EBV - which causes glandular fever). In addition, a person is also at high risk of developing Hodgkin lymphoma if a first-degree relative (parent, sibling or www.outsourcestrategies.com
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child) has had the condition earlier. HD can be either classic Hodgkin’s disease or nodular lymphocytic predominant Hodgkin’s lymphoma (NLPHL). Types of Hodgkin's Lymphoma There are two different types of Hodgkin's lymphoma. Diagnosis of the specific type of lymphoma is based on the types of cells involved and their behavior. The type of lymphoma a person is diagnosed with determines their treatment options.
Classical Hodgkin's lymphoma – Regarded as a common type of lymphoma, people diagnosed with classical HD have large, abnormal cells (called Reed-Sternberg cells) in their lymph nodes. Subtypes of classical Hodgkin's lymphoma include Nodular sclerosis Hodgkin's lymphoma (NSHL) Mixed cellularity Hodgkin's lymphoma (MCCHL) Lymphocyte-depleted Hodgkin's lymphoma Lymphocyte-rich Hodgkin's lymphoma
Nodular lymphocyte-predominant Hodgkin's lymphoma – A rare type of Hodgkin's lymphoma, this condition involves large, abnormal cells that are sometimes called popcorn cells because of their appearance. People suffering from this type of lymphoma may have a higher chance of a cure when the disease is diagnosed at an early stage.
What Are the Symptoms of HD? One of the most common symptoms associated with the condition is swelling of the lymph nodes, which causes a lump to form under the skin. In most cases, this lump is not painful and may form in one or more of the following areas like - on the side of the neck, in the armpit and around the groin. Other related symptoms include –
Unexplained weight loss
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Persistent fatigue
Persistent cough, trouble breathing, chest pain
Pain in the lymph nodes after consuming alcohol
Night sweats
Itchy skin
Fever
Enlarged spleen
Diagnosing and Treating HD To diagnose HD, the physician will perform a detailed physical exam wherein they will check for swollen lymph nodes, including in the neck, underarm and groin, as well as a swollen spleen or liver. They will also ask questions about the patient’s previous medical history. Blood tests may be conducted to analyze the complete blood count (CBC), to measure levels of red blood cells, white blood cells, and platelets and to check if anything in the patient’s blood indicates the possibility of cancer. Imaging tests like X-ray, CT and positron emission tomography may be performed to look for signs of HD in other
areas of
the
body. In
addition, lung function tests and an
echocardiogram may also be performed to determine how well the lungs are working. Physicians may also conduct other tests - lymph node biopsy (to remove a lymph node for lab testing) and bone marrow biopsy and aspiration procedure (inserting a needle into your hipbone to remove a sample of bone marrow) in order to look for Hodgkin's lymphoma cells. Once the physician correctly determines the extent of HD cells, they will assign a specific stage for the cancer. Staging describes the extent and severity of the disease. It will alsohelpthe physician determine the patient’s prognosis and treatment options. There are four general stages of HD –
Stage 1 (early stage) - cancer is found in one lymph node region or one area of a single organ.
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Stage 2 (locally advanced disease) – cancer is found in two lymph node regions (on one side of the diaphragm - which is the muscle beneath your lung), or in one lymph node region as well as in a nearby organ.
Stage 3 (advanced disease) – when cancer is found in lymph nodes both above and below the diaphragm. Cancer may also be in one portion of tissue or an organ near the lymph node groups or in the spleen.
Stage 4 (widespread disease) – cancer cells are found outside the lymph nodes and in several portions of one or more organs and tissues such as the bone marrow, liver, or lung.
Treatment for Hodgkin's lymphoma typically depends on the stage of the disease. As mentioned above, the main treatment options are chemotherapy and radiation. If patients don’t respond properly to chemotherapy or radiation, immunotherapy or a stem cell transplant may also be used. A stem cell transplant infuses healthy cells called stem cells into the patient’s body to replace the cancerous cells in the bone marrow. The diagnosis, screening tests and other treatment procedures performed by oncologists, radiologists or other specialists must be documented by reporting the correct medical billing codes. Medical billing and coding services offered by reliable providers ensure that accurate claims submission is done. ICD-10 codes used for diagnosing Hodgkin's lymphoma include – ICD-10 Codes for HD
C81 - Hodgkin lymphoma
C81.0 - Nodular lymphocyte predominant Hodgkin lymphoma C81.00 - Nodular lymphocyte predominant Hodgkin lymphoma, unspecified site C81.01 - Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of head, face, and neck
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C81.02 - Nodular lymphocyte predominant Hodgkin lymphoma, intrathoracic lymph nodes C81.03 - Nodular lymphocyte predominant Hodgkin lymphoma, intra-abdominal lymph nodes C81.04 - Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of axilla and upper limb C81.05 - Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of inguinal region and lower limb C81.06 - Nodular lymphocyte predominant Hodgkin lymphoma, intrapelvic lymph nodes C81.07 - Nodular lymphocyte predominant Hodgkin lymphoma, spleen C81.08 - Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of multiple sites C81.09 - Nodular lymphocyte predominant Hodgkin lymphoma, extranodal and solid organ sites
C81.1 - Nodular sclerosis Hodgkin lymphoma C81.10 - Nodular sclerosis Hodgkin lymphoma, unspecified site C81.11 - Nodular sclerosis Hodgkin lymphoma, lymph nodes of head, face, and neck C81.12 - Nodular sclerosis Hodgkin lymphoma, intrathoracic lymph nodes C81.13 - Nodular sclerosis Hodgkin lymphoma, intra-abdominal lymph nodes C81.14 - Nodular sclerosis Hodgkin lymphoma, lymph nodes of axilla and upper limb C81.15 - Nodular sclerosis Hodgkin lymphoma, lymph nodes of inguinal region and lower limb C81.16 - Nodular sclerosis Hodgkin lymphoma, intrapelvic lymph nodes
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C81.17 - Nodular sclerosis Hodgkin lymphoma, spleen C81.18 - Nodular sclerosis Hodgkin lymphoma, lymph nodes of multiple sites C81.19 - Nodular sclerosis Hodgkin lymphoma, extranodal and solid organ sites
C81.2 - Mixed cellularity Hodgkin lymphoma
C81.20 - Mixed cellularity Hodgkin lymphoma, unspecified site
C81.21 - Mixed cellularity Hodgkin lymphoma, lymph nodes of head, face, and neck
C81.22 - Mixed cellularity Hodgkin lymphoma, intrathoracic lymph nodes
C81.23 - Mixed cellularity Hodgkin lymphoma, intra-abdominal lymph nodes
C81.24 - Mixed cellularity Hodgkin lymphoma, lymph nodes of axilla and upper limb
C81.25 - Mixed cellularity Hodgkin lymphoma ,lymph nodes of inguinal region and lower limb
C81.26 - Mixed cellularity Hodgkin lymphoma, intrapelvic lymph nodes
C81.27 - Mixed cellularity Hodgkin lymphoma, spleen
C81.28 - Mixed cellularity Hodgkin lymphoma, lymph nodes of multiple sites
C81.29 - Mixed cellularity Hodgkin lymphoma, extranodal and solid organ sites
C81.3 - Lymphocyte depleted Hodgkin lymphoma
C81.30 - Lymphocyte depleted Hodgkin lymphoma, unspecified site
C81.31 - Lymphocyte depleted Hodgkin lymphoma, lymph nodes of head, face, and neck
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C81.32 - Lymphocyte depleted Hodgkin lymphoma, intrathoracic lymph nodes
C81.33 - Lymphocyte depleted Hodgkin lymphoma, intraabdominal lymph nodes
C81.34 - Lymphocyte depleted Hodgkin lymphoma, lymph nodes of axilla and upper limb
C81.35 - Lymphocyte depleted Hodgkin lymphoma, lymph nodes of inguinal region and lower limb
C81.36 - Lymphocyte depleted Hodgkin lymphoma, intrapelvic lymph nodes
C81.37 - Lymphocyte depleted Hodgkin lymphoma, spleen
C81.38 - Lymphocyte depleted Hodgkin lymphoma, lymph nodes of multiple sites
C81.39 - Lymphocyte depleted Hodgkin lymphoma, extranodal and solid organ sites
C81.4 - Lymphocyte-rich Hodgkin lymphoma
C81.40 - Lymphocyte-rich Hodgkin lymphoma, unspecified site
C81.41 - Lymphocyte-rich Hodgkin lymphoma, lymph nodes of head, face, and neck
C81.42 - Lymphocyte-rich Hodgkin lymphoma, intrathoracic lymph nodes
C81.43 - Lymphocyte-rich Hodgkin lymphoma, intra-abdominal lymph nodes
C81.44 - Lymphocyte-rich Hodgkin lymphoma, lymph nodes of axilla and upper limb
C81.45 - Lymphocyte-rich Hodgkin lymphoma, lymph nodes of inguinal region and lower limb
C81.46 - Lymphocyte-rich Hodgkin lymphoma, intrapelvic lymph nodes
C81.47 - Lymphocyte-rich Hodgkin lymphoma, spleen
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C81.48 - Lymphocyte-rich Hodgkin lymphoma, lymph nodes of multiple sites
C81.49 - Lymphocyte-rich Hodgkin lymphoma, extranodal and solid organ sites
C81.7 - Other Hodgkin lymphoma
C81.70 - Other Hodgkin lymphoma, unspecified site
C81.71 - Other Hodgkin lymphoma, lymph nodes of head, face, and neck
C81.72 - Other Hodgkin lymphoma, intrathoracic lymph nodes
C81.73 - Other Hodgkin lymphoma, intra-abdominal lymph nodes
C81.74 - Other Hodgkin lymphoma, lymph nodes of axilla and upper limb
C81.75 - Other Hodgkin lymphoma, lymph nodes of inguinal region and lower limb
C81.76 - Other Hodgkin lymphoma, intrapelvic lymph nodes
C81.77 - Other Hodgkin lymphoma, spleen
C81.78 - Other Hodgkin lymphoma, lymph nodes of multiple sites
C81.79 - Other Hodgkin lymphoma, extranodal and solid organ sites
C81.9 - Hodgkin lymphoma, unspecified
C81.90 - Hodgkin lymphoma, unspecified, unspecified site
C81.91 - Hodgkin lymphoma, unspecified, lymph nodes of head, face, and neck
C81.92 - Hodgkin lymphoma, unspecified, intrathoracic lymph nodes
C81.93 - Hodgkin lymphoma, unspecified, intra-abdominal lymph nodes
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C81.94 - Hodgkin lymphoma, unspecified, lymph nodes of axilla and upper limb
C81.95 - Hodgkin lymphoma, unspecified, lymph nodes of inguinal region and lower limb
C81.96 - Hodgkin lymphoma, unspecified, intrapelvic lymph nodes
C81.97 - Hodgkin lymphoma, unspecified, spleen
C81.98 - Hodgkin lymphoma, unspecified, lymph nodes of multiple sites
C81.99 - Hodgkin lymphoma, unspecified, extranodal and solid organ sites
The general outlook for HD varies, depending on its stage and type. Generally, this type of cancer is more common in men than women. Therefore, it is important for patients to report any unusual symptoms to their physician immediately.Knowing the highly specific ICD-10 codes related to HD is critical for oncologists. Partnering with an experienced medical billing and coding company is a great option for oncologists to ensure accurate and timely claim submissions.
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