Hodgkin lymphoma, unspecified, lymph nodes of multiple sites is a type of cancer that originates in the lymphatic system, characterized by the presence of Reed-Sternberg cells. The exact cause remains unclear, but genetic and environmental factors may contribute. Accurate coding with ICD-10 Code C81.98 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that patients receive appropriate care and resources.
What is ICD-10 Code C81.98 for Hodgkin lymphoma, unspecified, lymph nodes of multiple sites?
ICD-10 Code C81.98 represents Hodgkin lymphoma that is unspecified and affects lymph nodes in multiple sites. This code is used when the specific type of Hodgkin lymphoma is not identified, but the disease is confirmed. It is crucial for clinical documentation and billing to ensure accurate representation of the patient's condition and to facilitate appropriate treatment and management.
ICD-10 Code C81.98 – Clinical Definition and Explanation of Hodgkin lymphoma, unspecified, lymph nodes of multiple sites
Hodgkin lymphoma, unspecified, lymph nodes of multiple sites is a malignancy of the lymphatic system that can lead to significant morbidity if not diagnosed and treated promptly. The disease may progress through various stages, necessitating immediate medical intervention.
Key Clinical Features:
- Presence of painless lymphadenopathy, often in the cervical region.
- Symptoms may include fever, night sweats, and unexplained weight loss.
- Reed-Sternberg cells are typically identified in biopsy specimens.
- Can present with mediastinal lymphadenopathy or splenomegaly.
ICD-10 Code C81.98 for Hodgkin lymphoma, unspecified, lymph nodes of multiple sites – SOAP Notes & Clinical Use
ICD-10 Code C81.98 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition.
What Does ICD-10 Code C81.98 for Hodgkin lymphoma, unspecified, lymph nodes of multiple sites Mean in SOAP Notes?
In SOAP notes, ICD-10 Code C81.98 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 C81.98 – Hodgkin lymphoma, unspecified, lymph nodes of multiple sites
Hodgkin lymphoma requires prompt treatment to improve patient outcomes. 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 nausea.
- 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, unspecified, lymph nodes of multiple sites (ICD-10 C81.98) in SOAP Notes
Subjective:
- Patient reports painless swelling in the neck and armpits.
- Experiencing night sweats and fatigue.
- Noticed unexplained weight loss over the past month.
- History of recurrent fevers.
Objective:
- Physical examination reveals enlarged cervical and axillary lymph nodes.
- Vital signs: temperature 100.5°F, heart rate 85 bpm.
- CBC shows anemia and elevated white blood cell count.
- Biopsy confirms presence of Reed-Sternberg cells.
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SOAP Note Guidelines for Diagnosing Hodgkin lymphoma, unspecified, lymph nodes of multiple sites (ICD-10 Code C81.98)
Assessment:
- Diagnosis: Hodgkin lymphoma, unspecified, lymph nodes of multiple sites, Stage II.
- ICD-10 Code: C81.98.
- Contributing factors: Possible genetic predisposition and environmental exposure.
- Patient presents with systemic symptoms indicative of lymphoma.
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.
- Refer to a nutritionist for dietary support during treatment.
Treatment & Plan Section for ICD-10 Code C81.98 – Hodgkin lymphoma, unspecified, lymph nodes of multiple sites
- First-line treatment typically includes ABVD chemotherapy regimen.
- Consider radiation therapy for localized disease after chemotherapy.
- Encourage lifestyle modifications to support overall health.
- Regular follow-up with imaging studies to assess treatment efficacy.
Using ICD-10 Code C81.98 for Hodgkin lymphoma, unspecified, lymph nodes of multiple sites in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
- Use C81.98 in conjunction with appropriate CPT codes for treatment services.
- Maintain compliance with coding guidelines to support reimbursement.
- Document any complications or comorbidities that may affect treatment.
Related ICD-10 Codes Often Used with Hodgkin lymphoma, unspecified, lymph nodes of multiple sites
- C81.90 – Hodgkin lymphoma, unspecified, lymph nodes, 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
- C81.94 – Hodgkin lymphoma, lymph nodes of abdomen
ICD-10 Code C81.98 in Medical Billing and Insurance for Hodgkin lymphoma, unspecified, lymph nodes of multiple sites
ICD-10 Code C81.98 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.
Billing Notes:
- Document all relevant clinical findings to support the use of C81.98.
- Ensure that the diagnosis aligns with the services billed to avoid claim denials.
- Use this code in conjunction with treatment codes for comprehensive billing.
- Maintain clear records of patient history and treatment plans.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 96413 | Chemotherapy administration, intravenous, push technique. |
| 36415 | Collection of venous blood by venipuncture. |
| 99214 | Established patient office visit, moderate complexity. |
| 85025 | Complete blood count with automated differential. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code C81.98 for Hodgkin lymphoma, unspecified, lymph nodes of multiple sites
What are the common symptoms of Hodgkin lymphoma?
Common symptoms include painless swelling of lymph nodes, fever, night sweats, and unexplained weight loss. Patients may also experience fatigue and itching.
How is Hodgkin lymphoma diagnosed?
Diagnosis typically involves a physical examination, imaging studies, 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, depending on the stage and severity 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.
