Follicular lymphoma grade IIIb is a subtype of non-Hodgkin lymphoma characterized by the proliferation of neoplastic follicle center cells. It primarily affects the intrathoracic lymph nodes, leading to significant clinical implications such as lymphadenopathy, systemic symptoms, and potential progression to more aggressive forms of lymphoma. Accurate coding with ICD-10 Code C82.42 is essential for precise diagnosis, documentation, medical billing, and public health reporting.
What is ICD-10 Code C82.42 for Follicular lymphoma grade IIIb, intrathoracic lymph nodes?
ICD-10 Code C82.42 specifically denotes Follicular lymphoma grade IIIb affecting the intrathoracic lymph nodes. This condition is marked by a high proliferation rate of malignant B-cells and can lead to significant morbidity. The code should be utilized in clinical documentation and billing when a patient presents with this specific diagnosis, ensuring accurate representation of the patient's condition for treatment and reimbursement purposes.
ICD-10 Code C82.42 – Clinical Definition and Explanation of Follicular lymphoma grade IIIb, intrathoracic lymph nodes
Follicular lymphoma grade IIIb is a malignant hematological disorder characterized by the uncontrolled growth of follicle center cells, often presenting in the intrathoracic lymph nodes. This condition requires prompt medical attention due to its potential for aggressive behavior and systemic involvement.
Key Clinical Features:
- Presence of enlarged intrathoracic lymph nodes, often detected via imaging.
- Symptoms may include fever, night sweats, and unexplained weight loss.
- Potential for transformation to a more aggressive lymphoma subtype.
- Commonly affects adults, with a higher incidence in older populations.
ICD-10 Code C82.42 for Follicular lymphoma grade IIIb, intrathoracic lymph nodes – SOAP Notes & Clinical Use
ICD-10 Code C82.42 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans related to Follicular lymphoma grade IIIb. This code plays a crucial role in both acute and chronic care settings, ensuring comprehensive documentation and facilitating appropriate billing.
What Does ICD-10 Code C82.42 for Follicular lymphoma grade IIIb, intrathoracic lymph nodes Mean in SOAP Notes?
In SOAP notes, ICD-10 Code C82.42 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Follicular lymphoma grade IIIb. This coding ensures continuity of care, supports accurate billing, and meets EHR documentation standards.
Treatment Options for ICD-10 Code C82.42 – Follicular lymphoma grade IIIb, intrathoracic lymph nodes
Management of Follicular lymphoma grade IIIb often necessitates hospitalization due to the potential for aggressive disease progression. Treatment strategies focus on chemotherapy, immunotherapy, and supportive care.
Antibiotic Therapy:
- Not applicable as Follicular lymphoma is not an infectious condition.
Supportive Care:
- Symptom management including pain control and management of side effects.
- Nutritional support to address weight loss and cachexia.
- Psychosocial support for patients and families.
Infection Control:
- Standard precautions to prevent infections in immunocompromised patients.
- Monitoring for signs of infection due to potential neutropenia from treatment.
How to Document Symptoms of Follicular lymphoma grade IIIb, intrathoracic lymph nodes (ICD-10 C82.42) in SOAP Notes
Subjective:
- Patient reports persistent fatigue and night sweats.
- History of unintentional weight loss over the past three months.
- Complaints of localized chest discomfort and dyspnea on exertion.
Objective:
- Physical examination reveals enlarged supraclavicular and intrathoracic lymph nodes.
- Vital signs: BP 120/80 mmHg, HR 88 bpm, Temp 99.5°F.
- CT scan shows significant lymphadenopathy in the mediastinum.
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SOAP Note Guidelines for Diagnosing Follicular lymphoma grade IIIb, intrathoracic lymph nodes (ICD-10 Code C82.42)
Assessment:
- Diagnosis: Follicular lymphoma grade IIIb, intrathoracic lymph nodes.
- ICD-10 Code: C82.42.
- Contributing factors include age and possible genetic predisposition.
Plan:
- Initiate chemotherapy regimen with R-CHOP.
- Schedule follow-up imaging to assess treatment response.
- Provide education on potential side effects and symptom management.
Treatment & Plan Section for ICD-10 Code C82.42 – Follicular lymphoma grade IIIb, intrathoracic lymph nodes
- First-line treatment includes chemotherapy with rituximab and cyclophosphamide.
- Non-pharmacologic strategies include nutritional counseling and psychosocial support.
- Monitoring for treatment response through regular imaging and lab tests.
- Follow-up appointments to assess for disease progression and manage complications.
Using ICD-10 Code C82.42 for Follicular lymphoma grade IIIb, intrathoracic lymph nodes 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 C82.42 based on standard medical coding practices.
Related ICD-10 Codes Often Used with Follicular lymphoma grade IIIb, intrathoracic lymph nodes
ICD-10 Code C82.42 in Medical Billing and Insurance for Follicular lymphoma grade IIIb, intrathoracic lymph nodes
ICD-10 Code C82.42 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.
Billing Notes:
- Ensure accurate documentation of the diagnosis to support the claim.
- Use this code in conjunction with treatment codes for comprehensive billing.
- Include relevant clinical findings in the medical record to justify the diagnosis.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 96413 | Chemotherapy administration, intravenous, push, single or initial substance. |
| 85025 | Complete blood count (CBC) with automated differential white blood cell count. |
| 77014 | Radiologic examination, lymphatic system, including lymphangiography. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code C82.42 for Follicular lymphoma grade IIIb, intrathoracic lymph nodes
What are the common symptoms of Follicular lymphoma grade IIIb?
Common symptoms include swollen lymph nodes, fever, night sweats, and unexplained weight loss. Patients may also experience fatigue and discomfort in the chest area due to lymph node enlargement.
How is Follicular lymphoma grade IIIb treated?
Treatment typically involves chemotherapy, often combined with immunotherapy. Supportive care is also crucial to manage symptoms and side effects during treatment.
Is Follicular lymphoma grade IIIb curable?
While Follicular lymphoma grade IIIb is considered a more aggressive form of lymphoma, treatment can lead to remission. However, it may not be curable, and ongoing management is often necessary.
When should ICD-10 Code C82.42 be used?
ICD-10 Code C82.42 should be used when documenting a diagnosis of Follicular lymphoma grade IIIb affecting the intrathoracic lymph nodes, ensuring accurate representation in medical records and billing.
