Follicular lymphoma grade II is a type of non-Hodgkin lymphoma characterized by the proliferation of follicle center (germinal center) B-cells. This condition typically presents in lymph nodes at multiple sites and is associated with a more aggressive clinical course compared to grade I. Accurate coding with ICD-10 Code C82.18 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this malignancy.
What is ICD-10 Code C82.18 for Follicular lymphoma grade II, lymph nodes of multiple sites?
ICD-10 Code C82.18 specifically denotes Follicular lymphoma grade II affecting lymph nodes in multiple sites. This code is utilized when documenting cases of this lymphoma subtype, which is characterized by a moderate proliferation of neoplastic B-cells. It is crucial for accurate clinical documentation and billing, particularly in oncology settings, to ensure appropriate treatment and resource allocation.
ICD-10 Code C82.18 – Clinical Definition and Explanation of Follicular lymphoma grade II, lymph nodes of multiple sites
Follicular lymphoma grade II arises from the transformation of B-lymphocytes within the lymphatic system, leading to the formation of tumors in lymph nodes. This condition can progress to more aggressive forms of lymphoma if left untreated, necessitating timely medical intervention.
Key Clinical Features:
- Painless lymphadenopathy in multiple regions.
- B-symptoms such as fever, night sweats, and weight loss.
- Bone marrow involvement may occur, affecting blood cell production.
- Potential transformation to a more aggressive lymphoma subtype.
ICD-10 Code C82.18 for Follicular lymphoma grade II, lymph nodes of multiple sites – SOAP Notes & Clinical Use
ICD-10 Code C82.18 is integral to SOAP notes, facilitating the documentation of patient symptoms, assessments, and treatment plans. This code aids in tracking the patient's clinical course in both acute and chronic care settings, ensuring comprehensive care.
What Does ICD-10 Code C82.18 for Follicular lymphoma grade II, lymph nodes of multiple sites Mean in SOAP Notes?
In SOAP notes, ICD-10 Code C82.18 connects subjective patient reports and objective clinical findings to a formal diagnosis of Follicular lymphoma grade II. This linkage is vital for continuity of care, supporting accurate billing and compliance with EHR documentation standards.
Treatment Options for ICD-10 Code C82.18 – Follicular lymphoma grade II, lymph nodes of multiple sites
Follicular lymphoma grade II requires prompt medical attention, often necessitating hospitalization for treatment. Management strategies focus on controlling disease progression and alleviating symptoms.
Antibiotic Therapy:
- Not applicable as Follicular lymphoma is not an infectious disease.
Supportive Care:
- Chemotherapy regimens such as R-CHOP.
- Monoclonal antibodies like rituximab.
- Radiation therapy for localized disease.
Infection Control:
- Standard precautions to prevent infection during immunosuppressive therapy.
- Monitoring for febrile neutropenia.
How to Document Symptoms of Follicular lymphoma grade II, lymph nodes of multiple sites (ICD-10 C82.18) in SOAP Notes
Subjective:
- Patient reports painless swelling in multiple lymph node regions.
- Experiencing night sweats and unintentional weight loss.
- History of fatigue and decreased appetite.
Objective:
- Physical examination reveals enlarged cervical and axillary lymph nodes.
- Complete blood count shows mild anemia.
- Imaging studies indicate lymphadenopathy in multiple sites.
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SOAP Note Guidelines for Diagnosing Follicular lymphoma grade II, lymph nodes of multiple sites (ICD-10 Code C82.18)
Assessment:
- Diagnosis: Follicular lymphoma grade II, lymph nodes of multiple sites.
- ICD-10 Code: C82.18.
- Contributing factors include age and family history of lymphoma.
Plan:
- Initiate chemotherapy with R-CHOP regimen.
- Schedule follow-up appointments for monitoring treatment response.
- Educate patient on potential side effects and symptom management.
Treatment & Plan Section for ICD-10 Code C82.18 – Follicular lymphoma grade II, lymph nodes of multiple sites
- First-line treatment includes chemotherapy and monoclonal antibodies.
- Consider clinical trials for advanced disease management.
- Regular follow-up with imaging and laboratory tests to monitor disease progression.
- Patient education on lifestyle modifications and symptom management.
Using ICD-10 Code C82.18 for Follicular lymphoma grade II, lymph nodes of multiple sites in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
- Use C82.18 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 Follicular lymphoma grade II, lymph nodes of multiple sites
ICD-10 Code C82.18 in Medical Billing and Insurance for Follicular lymphoma grade II, lymph nodes of multiple sites
ICD-10 Code C82.18 is critical for billing purposes in hospital, ER, or oncology settings, ensuring accurate reimbursement for services rendered.
Billing Notes:
- Document all relevant clinical findings and treatment plans to support the claim.
- Use C82.18 in appropriate settings, including outpatient and inpatient care.
- Ensure that all chart elements align with coding guidelines for compliance.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 96413 | Chemotherapy administration, intravenous, push, single or initial substance. |
| 96415 | Chemotherapy administration, intravenous, each additional substance. |
| 99214 | Established patient office visit, moderate complexity. |
| 85025 | Complete blood count with automated differential. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code C82.18 for Follicular lymphoma grade II, lymph nodes of multiple sites
What are the common symptoms of Follicular lymphoma grade II?
Common symptoms include painless swelling of lymph nodes, night sweats, fever, and unexplained weight loss. Patients may also experience fatigue and decreased appetite.
How is Follicular lymphoma grade II diagnosed?
Diagnosis typically involves a combination of physical examination, imaging studies, and biopsy of affected lymph nodes to confirm the presence of neoplastic B-cells.
What treatments are available for Follicular lymphoma grade II?
Treatment options include chemotherapy, monoclonal antibody therapy, and radiation therapy. The choice of treatment depends on the stage of the disease and patient health.
Is Follicular lymphoma grade II curable?
While Follicular lymphoma grade II is generally considered incurable, it is often manageable with treatment, allowing patients to achieve remission and maintain a good quality of life.
