ICD-10 Code C81.91 | Hodgkin lymphoma, unsp, lymph nodes of head, face, and neck Symptoms, Diagnosis, Billing

Hodgkin lymphoma is a type of lymphatic cancer characterized by the presence of Reed-Sternberg cells. The unspecified nature of this code indicates that the specific subtype of Hodgkin lymphoma affecting the lymph nodes in the head, face, and neck is not detailed. Accurate coding with ICD-10 Code C81.91 is essential for proper diagnosis, documentation, billing, and public health reporting, ensuring that healthcare providers can track and manage this condition effectively.

What is ICD-10 Code C81.91 for Hodgkin lymphoma, unsp, lymph nodes of head, face, and neck?

ICD-10 Code C81.91 represents Hodgkin lymphoma affecting unspecified lymph nodes in the head, face, and neck. This code is used when the specific subtype of Hodgkin lymphoma is not identified. It is crucial for clinical documentation and billing, allowing healthcare providers to categorize the condition accurately and facilitate appropriate treatment and management strategies.

ICD-10 Code C81.91 – Clinical Definition and Explanation of Hodgkin lymphoma, unsp, lymph nodes of head, face, and neck

Hodgkin lymphoma is a malignancy of the lymphatic system, often presenting with lymphadenopathy in various regions, including the head, face, and neck. The exact cause remains unclear, but genetic and environmental factors may contribute. Early diagnosis and treatment are critical to improve patient outcomes.

Key Clinical Features:

• Painless swelling of lymph nodes in the head, face, and neck.
• Possible systemic symptoms such as fever, night sweats, and weight loss.
• Presence of Reed-Sternberg cells on histological examination.
• Increased susceptibility to infections due to lymphatic system involvement.

ICD-10 Code C81.91 for Hodgkin lymphoma, unsp, lymph nodes of head, face, and neck – SOAP Notes & Clinical Use

ICD-10 Code C81.91 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. It plays a vital role in both acute and chronic care settings, ensuring comprehensive documentation that supports clinical decision-making and billing processes.

What Does ICD-10 Code C81.91 for Hodgkin lymphoma, unsp, lymph nodes of head, face, and neck Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C81.91 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Hodgkin lymphoma. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code C81.91 – Hodgkin lymphoma, unsp, lymph nodes of head, face, and neck

Hodgkin lymphoma requires prompt medical intervention, often necessitating hospitalization for treatment. Chemotherapy and radiation therapy are standard approaches, tailored to the patient's specific condition.

Antibiotic Therapy:

• Not applicable as Hodgkin lymphoma is not an infectious disease.

Supportive Care:

• Management of symptoms such as pain and nausea.
• Nutritional support to maintain strength during treatment.
• Psychosocial support for emotional well-being.

Infection Control:

• Standard precautions to prevent infections during treatment.
• Monitoring for signs of infection due to immunosuppression.

How to Document Symptoms of Hodgkin lymphoma, unsp, lymph nodes of head, face, and neck (ICD-10 C81.91) in SOAP Notes

Subjective:

• Patient reports painless swelling in the neck region.
• Experiencing intermittent fever and night sweats.
• Noticed unintentional weight loss over the past month.
• Family history of lymphoma noted.

Objective:

• Physical examination reveals enlarged cervical lymph nodes.
• Vital signs: temperature 100.4°F, pulse 80 bpm, BP 120/80 mmHg.
• Laboratory tests show elevated white blood cell count.
• Imaging studies indicate lymphadenopathy in the cervical region.

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SOAP Note Guidelines for Diagnosing Hodgkin lymphoma, unsp, lymph nodes of head, face, and neck (ICD-10 Code C81.91)

Assessment:

• Diagnosis: Hodgkin lymphoma, unspecified, affecting lymph nodes of head, face, and neck.
• Severity: Moderate, based on clinical presentation and imaging findings.
• ICD-10 Code: C81.91.
• Contributing factors: Family history and presenting symptoms.

Plan:

• Initiate chemotherapy regimen as per oncology guidelines.
• Schedule follow-up appointments for monitoring treatment response.
• Educate patient on potential side effects and supportive care measures.
• Consider referral to a nutritionist for dietary support.

Treatment & Plan Section for ICD-10 Code C81.91 – Hodgkin lymphoma, unsp, lymph nodes of head, face, and neck

• First-line pharmacologic treatment includes ABVD chemotherapy regimen (Adriamycin, Bleomycin, Vinblastine, Dacarbazine).
• Non-pharmacologic strategies include lifestyle modifications and nutritional support.
• Monitoring includes regular imaging and laboratory tests to assess treatment efficacy.
• Follow-up practices involve scheduled oncology visits to evaluate patient progress.

Using ICD-10 Code C81.91 for Hodgkin lymphoma, unsp, lymph nodes of head, face, and neck in Billing & SOAP Note Compliance

• Select accurate subcodes based on clinical severity or complications.
• Document symptoms clearly under Subjective (S) and Objective (O) in SOAP notes.
• Ensure treatment plans align with clinical guidelines to support justified billing.
• Only list CPT codes that are commonly billed with ICD-10 Code C81.91 based on standard medical coding practices.

Related ICD-10 Codes Often Used with Hodgkin lymphoma, unsp, lymph nodes of head, face, and neck

• C81.90 – Hodgkin lymphoma, unspecified, lymph nodes, unspecified
• C81.92 – Hodgkin lymphoma, lymph nodes of axilla and upper limb
• C81.93 – Hodgkin lymphoma, lymph nodes of mediastinum
• C81.94 – Hodgkin lymphoma, lymph nodes of abdomen

ICD-10 Code C81.91 in Medical Billing and Insurance for Hodgkin lymphoma, unsp, lymph nodes of head, face, and neck

ICD-10 Code C81.91 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure accurate documentation of the diagnosis and treatment plan to support claims.
• Use this code in conjunction with appropriate CPT codes for services rendered.
• Document all relevant clinical findings and patient history to justify the use of this code.
• Review payer-specific guidelines for coding and billing requirements.

Common CPT Pairings: