ICD-10 Code C81.97 | Hodgkin lymphoma, unspecified, spleen Symptoms, Diagnosis, Billing

Hodgkin lymphoma, unspecified, spleen is a type of lymphatic cancer characterized by the presence of Reed-Sternberg cells. The exact cause remains unclear, but it is believed to involve genetic and environmental factors. Accurate coding with ICD-10 Code C81.97 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that patients receive appropriate care and resources are allocated effectively.

What is ICD-10 Code C81.97 for Hodgkin lymphoma, unspecified, spleen?

ICD-10 Code C81.97 represents Hodgkin lymphoma that is unspecified and involves the spleen. This code is used when the diagnosis of Hodgkin lymphoma is confirmed but the specific subtype is not identified. It is crucial for clinical documentation and billing, particularly in cases where the disease may present with splenic involvement but lacks further classification.

ICD-10 Code C81.97 – Clinical Definition and Explanation of Hodgkin lymphoma, unspecified, spleen

Hodgkin lymphoma, unspecified, spleen is a malignancy of the lymphatic system that can lead to splenomegaly and systemic symptoms. The condition requires prompt medical attention due to its potential for progression and complications.

Key Clinical Features:

• Presence of painless lymphadenopathy, often in cervical or axillary regions.
• Splenomegaly may be noted on physical examination or imaging studies.
• Systemic symptoms such as fever, night sweats, and weight loss.
• Elevated serum lactate dehydrogenase (LDH) levels may indicate disease activity.
• Common in young adults, with a slight male predominance.

ICD-10 Code C81.97 for Hodgkin lymphoma, unspecified, spleen – SOAP Notes & Clinical Use

ICD-10 Code C81.97 is utilized in SOAP notes to document the diagnosis of Hodgkin lymphoma involving the spleen. It plays a vital role in capturing patient symptoms, assessment findings, and treatment plans, applicable in both acute and chronic care settings.

What Does ICD-10 Code C81.97 for Hodgkin lymphoma, unspecified, spleen Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C81.97 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Hodgkin lymphoma. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code C81.97 – Hodgkin lymphoma, unspecified, spleen

Hodgkin lymphoma, unspecified, spleen requires urgent medical intervention, often necessitating hospitalization for treatment.

Antibiotic Therapy:

• Not applicable as Hodgkin lymphoma is not an infectious disease; however, prophylactic antibiotics may be considered during chemotherapy.
• If infection occurs, consider first-line antibiotics such as ceftriaxone or piperacillin-tazobactam for 7-14 days.
• Alternative options may include vancomycin for resistant organisms.

Supportive Care:

• Manage symptoms with analgesics and antiemetics as needed.
• Monitor for complications such as infections or tumor lysis syndrome.
• Provide psychological support and counseling for patients and families.

Infection Control:

• Implement standard precautions to prevent infection, especially during chemotherapy.
• Educate patients on hygiene practices and signs of infection.
• Consider isolation protocols for neutropenic patients.

How to Document Symptoms of Hodgkin lymphoma, unspecified, spleen (ICD-10 C81.97) in SOAP Notes

Subjective:

• Patient reports persistent fatigue and unexplained weight loss over the past month.
• Complains of night sweats and intermittent fevers.
• Denies any recent infections or travel history.

Objective:

• Physical examination reveals enlarged cervical lymph nodes and splenomegaly.
• Vital signs: temperature 100.4°F, heart rate 88 bpm, blood pressure 120/80 mmHg.
• Laboratory tests show elevated LDH and abnormal complete blood count.

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SOAP Note Guidelines for Diagnosing Hodgkin lymphoma, unspecified, spleen (ICD-10 Code C81.97)

Assessment:

• Diagnosis: Hodgkin lymphoma, unspecified, spleen, moderate severity.
• ICD-10 Code: C81.97.
• Contributing factors include age and gender predisposition.

Plan:

• Initiate chemotherapy regimen based on staging and patient health.
• Educate patient on potential side effects and the importance of follow-up.
• Schedule regular monitoring of blood counts and imaging studies.

Treatment & Plan Section for ICD-10 Code C81.97 – Hodgkin lymphoma, unspecified, spleen

• First-line treatment typically includes ABVD chemotherapy regimen (Adriamycin, Bleomycin, Vinblastine, Dacarbazine).
• Non-pharmacologic strategies include nutritional support and physical therapy.
• Monitoring should include regular imaging and laboratory tests to assess treatment response.
• Follow-up appointments should be scheduled every 3-6 months post-treatment.

Using ICD-10 Code C81.97 for Hodgkin lymphoma, unspecified, spleen in Billing & SOAP Note Compliance

• Ensure clear documentation of symptoms and clinical findings in the Subjective (S) and Objective (O) sections.
• Use C81.97 when the diagnosis is confirmed but the specific subtype is not identified.
• Align treatment plans with clinical guidelines to support justified billing.
• Include relevant CPT codes that correspond to the services provided.

Related ICD-10 Codes Often Used with Hodgkin lymphoma, unspecified, spleen

• C81.90 – Hodgkin lymphoma, unspecified, site unspecified
• C81.91 – Hodgkin lymphoma, lymph nodes of head, face, and neck
• C81.92 – Hodgkin lymphoma, lymph nodes of axilla and upper limb
• C81.93 – Hodgkin lymphoma, lymph nodes of mediastinum

ICD-10 Code C81.97 in Medical Billing and Insurance for Hodgkin lymphoma, unspecified, spleen

ICD-10 Code C81.97 is critical for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings and treatment plans to support the ICD-10 claim.
• Use this code in settings where the diagnosis is confirmed but lacks specific subtype classification.
• Ensure that all chart elements, including patient history and treatment rationale, are clearly outlined.

Common CPT Pairings: