ICD-10 Code C81.1A | Nodular sclerosis Hodgkin lymphoma, in remission Symptoms, Diagnosis, Billing

Nodular sclerosis Hodgkin lymphoma is a subtype of Hodgkin lymphoma characterized by the presence of Reed-Sternberg cells and fibrous tissue. It typically presents in young adults and is associated with lymphadenopathy, fever, and weight loss. The ICD-10 Code C81.1A is crucial for accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that patients receive appropriate care and resources.

What is ICD-10 Code C81.1A for Nodular sclerosis Hodgkin lymphoma, in remission?

ICD-10 Code C81.1A represents Nodular sclerosis Hodgkin lymphoma, in remission, indicating that the patient has achieved a state where the disease is no longer active. This code is used in clinical documentation and billing when a patient has completed treatment and shows no signs of disease progression, allowing for accurate tracking of treatment outcomes and resource allocation.

ICD-10 Code C81.1A – Clinical Definition and Explanation of Nodular sclerosis Hodgkin lymphoma, in remission

Nodular sclerosis Hodgkin lymphoma is primarily caused by genetic mutations and environmental factors, leading to the proliferation of atypical lymphocytes. The disease progresses through stages, necessitating timely medical intervention to prevent complications. Monitoring remission status is essential for ongoing patient management.

Key Clinical Features:

• Presence of Reed-Sternberg cells in lymph nodes.
• Commonly affects young adults, particularly females.
• Symptoms include painless lymphadenopathy, fever, and night sweats.
• Typically diagnosed through biopsy and imaging studies.

ICD-10 Code C81.1A for Nodular sclerosis Hodgkin lymphoma, in remission – SOAP Notes & Clinical Use

ICD-10 Code C81.1A is utilized in SOAP notes to document the patient's remission status, guiding treatment decisions and follow-up care. It plays a vital role in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code C81.1A for Nodular sclerosis Hodgkin lymphoma, in remission Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C81.1A connects subjective reports of symptoms and objective clinical findings to a formal diagnosis of remission. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code C81.1A – Nodular sclerosis Hodgkin lymphoma, in remission

Management of Nodular sclerosis Hodgkin lymphoma in remission focuses on monitoring and supportive care to prevent recurrence.

Antibiotic Therapy:

• Not applicable as this condition is not infectious.

Supportive Care:

• Regular follow-up appointments for monitoring.
• Symptom management including pain relief and psychological support.
• Nutritional support to maintain health during recovery.

Infection Control:

• Standard precautions to prevent infections in immunocompromised patients.
• Education on hygiene practices.

How to Document Symptoms of Nodular sclerosis Hodgkin lymphoma, in remission (ICD-10 C81.1A) in SOAP Notes

Subjective:

• Patient reports feeling well with no new symptoms.
• Denies fever, night sweats, or weight loss.
• History of previous lymphadenopathy now resolved.

Objective:

• Physical examination shows no palpable lymphadenopathy.
• Vital signs within normal limits.
• Recent imaging shows no evidence of disease.

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SOAP Note Guidelines for Diagnosing Nodular sclerosis Hodgkin lymphoma, in remission (ICD-10 Code C81.1A)

Assessment:

• Diagnosis: Nodular sclerosis Hodgkin lymphoma, in remission.
• ICD-10 Code: C81.1A.
• No current symptoms or signs of disease recurrence.

Plan:

• Continue regular follow-up every 3-6 months.
• Educate patient on signs of recurrence.
• Monitor for any late effects of treatment.

Treatment & Plan Section for ICD-10 Code C81.1A – Nodular sclerosis Hodgkin lymphoma, in remission

• Regular follow-up appointments to monitor remission status.
• Patient education on lifestyle modifications to support health.
• Psychosocial support services as needed.
• Routine imaging studies to ensure no recurrence.

Using ICD-10 Code C81.1A for Nodular sclerosis Hodgkin lymphoma, in remission in Billing & SOAP Note Compliance

• Ensure accurate documentation of remission status in Subjective (S) and Objective (O) sections.
• Use C81.1A for billing when the patient is in remission to reflect the current clinical status.
• Align treatment plans with clinical guidelines to support justified billing.
• Document any relevant symptoms or complications that may arise.

Related ICD-10 Codes Often Used with Nodular sclerosis Hodgkin lymphoma, in remission

ICD-10 Code C81.1A in Medical Billing and Insurance for Nodular sclerosis Hodgkin lymphoma, in remission

ICD-10 Code C81.1A is essential for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document the patient's remission status clearly to support the ICD-10 claim.
• Use this code in outpatient and inpatient settings for consistency.
• Ensure all relevant clinical findings are included in the medical record.

Common CPT Pairings: