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ICD-10 Code C81.94 | Hodgkin lymphoma, unsp, lymph nodes of axilla and upper limb 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 axilla and upper limb is not detailed. Accurate coding with ICD-10 Code C81.94 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can track and manage this condition effectively.

What is ICD-10 Code C81.94 for Hodgkin lymphoma, unsp, lymph nodes of axilla and upper limb?

ICD-10 Code C81.94 represents Hodgkin lymphoma affecting the unspecified lymph nodes of the axilla and upper limb. This code is used when the specific subtype of Hodgkin lymphoma is not identified. It is crucial for clinical documentation and billing, particularly when diagnosing patients with lymphatic malignancies in these anatomical regions.

ICD-10 Code C81.94 – Clinical Definition and Explanation of Hodgkin lymphoma, unsp, lymph nodes of axilla and upper limb

Hodgkin lymphoma affecting the lymph nodes of the axilla and upper limb is a malignancy of the lymphatic system. It can present with various symptoms and requires prompt medical evaluation and treatment. The condition may progress if left untreated, necessitating timely intervention.

Key Clinical Features:

  • Painless swelling of lymph nodes in the axilla or upper limb.
  • Possible systemic symptoms such as fever, night sweats, and weight loss.
  • Fatigue and weakness due to anemia or other systemic effects.
  • Presence of Reed-Sternberg cells on histopathological examination.

ICD-10 Code C81.94 for Hodgkin lymphoma, unsp, lymph nodes of axilla and upper limb – SOAP Notes & Clinical Use

ICD-10 Code C81.94 is utilized in SOAP notes to document the diagnosis of Hodgkin lymphoma affecting the lymph nodes of the axilla and upper limb. It plays a vital role in capturing patient symptoms, assessments, and treatment plans, ensuring comprehensive care in both acute and chronic settings.

What Does ICD-10 Code C81.94 for Hodgkin lymphoma, unsp, lymph nodes of axilla and upper limb Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C81.94 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 C81.94 – Hodgkin lymphoma, unsp, lymph nodes of axilla and upper limb

Hodgkin lymphoma requires prompt treatment to prevent disease progression. Hospitalization may be necessary for severe cases or complications.

Antibiotic Therapy:

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

Supportive Care:

  • Management of symptoms such as pain and fatigue.
  • Nutritional support to maintain strength.
  • 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 axilla and upper limb (ICD-10 C81.94) in SOAP Notes

Subjective:

  • Patient reports painless swelling in the left axilla.
  • Experiencing night sweats and unintentional weight loss.
  • Complains of persistent fatigue over the last month.

Objective:

  • Physical examination reveals enlarged lymph nodes in the left axilla.
  • Vital signs: BP 120/80 mmHg, HR 78 bpm, Temp 99.5°F.
  • Laboratory results show mild anemia with hemoglobin at 10.5 g/dL.
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SOAP Note Guidelines for Diagnosing Hodgkin lymphoma, unsp, lymph nodes of axilla and upper limb (ICD-10 Code C81.94)

Assessment:

  • Diagnosis: Hodgkin lymphoma, unspecified, affecting lymph nodes of axilla and upper limb, moderate severity.
  • ICD-10 Code: C81.94.
  • Contributing factors: Possible viral infection history, family history of lymphoma.

Plan:

  • Initiate chemotherapy regimen as per oncology guidelines.
  • Educate patient on potential side effects and importance of follow-up.
  • Schedule follow-up appointment in 4 weeks to assess treatment response.

Treatment & Plan Section for ICD-10 Code C81.94 – Hodgkin lymphoma, unsp, lymph nodes of axilla and upper limb

  • First-line treatment typically includes chemotherapy agents such as ABVD (Adriamycin, Bleomycin, Vinblastine, Dacarbazine).
  • Non-pharmacologic strategies include nutritional counseling and physical therapy to manage fatigue.
  • Monitoring includes regular CBC to assess blood counts and imaging studies to evaluate treatment response.
  • Follow-up practices should include regular oncology visits and symptom tracking.

Using ICD-10 Code C81.94 for Hodgkin lymphoma, unsp, lymph nodes of axilla and upper limb 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 C81.94 based on standard medical coding practices.

ICD-10 Code C81.94 in Medical Billing and Insurance for Hodgkin lymphoma, unsp, lymph nodes of axilla and upper limb

ICD-10 Code C81.94 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Ensure documentation includes detailed patient history and clinical findings to support the diagnosis.
  • Use this code in settings where patients present with lymphadenopathy or related symptoms.
  • Highlight key chart elements such as lab results and imaging studies that corroborate the diagnosis.

Common CPT Pairings:

CPT CodeDescription
96413Chemotherapy administration, intravenous, push technique, single or initial substance.
85025Complete blood count (CBC) with automated differential white blood cell count.
77014Radiologic examination, lymphatic system, including lymphangiography.

Frequently Asked Questions

Common Questions About Using ICD-10 Code C81.94 for Hodgkin lymphoma, unsp, lymph nodes of axilla and upper limb

What are the common symptoms of Hodgkin lymphoma?

Common symptoms include painless swelling of lymph nodes, fever, night sweats, weight loss, and fatigue. Patients may also experience itching and increased susceptibility to infections.

How is Hodgkin lymphoma diagnosed?

Diagnosis typically involves a physical examination, imaging studies such as CT scans, and a biopsy of affected lymph nodes to identify Reed-Sternberg cells.

What treatments are available for Hodgkin lymphoma?

Treatment options include chemotherapy, radiation therapy, and in some cases, stem cell transplantation. The specific regimen depends on the stage and subtype of the disease.

Is Hodgkin lymphoma contagious?

No, Hodgkin lymphoma is not contagious. It is a type of cancer that arises from the lymphatic system and cannot be transmitted from person to person.

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