Follicular lymphoma grade IIIb is a type of non-Hodgkin lymphoma characterized by the proliferation of malignant follicle center cells. This specific grade indicates a more aggressive form of the disease, often presenting in intrapelvic lymph nodes. Accurate coding with ICD-10 Code C82.46 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively track and manage this condition.
What is ICD-10 Code C82.46 for Follicular lymphoma grade IIIb, intrapelvic lymph nodes?
ICD-10 Code C82.46 represents Follicular lymphoma grade IIIb localized in the intrapelvic lymph nodes. This condition is a subtype of non-Hodgkin lymphoma, marked by a high proliferation rate of malignant cells. The code should be used in clinical documentation and billing when diagnosing patients with this specific type of lymphoma, ensuring accurate representation of the patient's condition for treatment and reimbursement purposes.
ICD-10 Code C82.46 – Clinical Definition and Explanation of Follicular lymphoma grade IIIb, intrapelvic lymph nodes
Follicular lymphoma grade IIIb is a hematological malignancy that arises from B-lymphocytes in the lymphatic system. It is characterized by a higher grade of malignancy compared to lower grades, leading to more aggressive disease behavior. This condition necessitates prompt medical attention due to its potential for rapid progression and systemic involvement.
Key Clinical Features:
- Presence of enlarged intrapelvic lymph nodes, often detected via imaging.
- Symptoms may include abdominal pain, weight loss, and night sweats.
- Higher proliferation index compared to lower-grade follicular lymphomas.
- Potential for transformation into a more aggressive lymphoma subtype.
ICD-10 Code C82.46 for Follicular lymphoma grade IIIb, intrapelvic lymph nodes – SOAP Notes & Clinical Use
ICD-10 Code C82.46 is utilized in SOAP notes to document the diagnosis and management of Follicular lymphoma grade IIIb. It plays a crucial role in capturing patient symptoms, assessment findings, and treatment plans, facilitating continuity of care in both acute and chronic settings.
What Does ICD-10 Code C82.46 for Follicular lymphoma grade IIIb, intrapelvic lymph nodes Mean in SOAP Notes?
In SOAP notes, ICD-10 Code C82.46 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Follicular lymphoma grade IIIb. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.
Treatment Options for ICD-10 Code C82.46 – Follicular lymphoma grade IIIb, intrapelvic lymph nodes
Management of Follicular lymphoma grade IIIb often requires a multidisciplinary approach, including chemotherapy and potential radiation therapy. Hospitalization may be necessary for severe cases or complications.
Antibiotic Therapy:
- Not applicable as this is not an infectious condition.
Supportive Care:
- Pain management with analgesics.
- Nutritional support to address weight loss.
- Psychosocial support for emotional well-being.
Infection Control:
- Standard precautions to prevent infection in immunocompromised patients.
- Monitoring for signs of infection during treatment.
How to Document Symptoms of Follicular lymphoma grade IIIb, intrapelvic lymph nodes (ICD-10 C82.46) in SOAP Notes
Subjective:
- Patient reports persistent abdominal pain.
- Notable weight loss over the past month.
- Experiencing night sweats and fatigue.
- History of lymphadenopathy.
Objective:
- Physical examination reveals enlarged intrapelvic lymph nodes.
- CBC shows anemia and elevated lactate dehydrogenase (LDH).
- Imaging studies confirm lymphadenopathy in the pelvic region.
- Biopsy results indicate grade IIIb follicular lymphoma.
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SOAP Note Guidelines for Diagnosing Follicular lymphoma grade IIIb, intrapelvic lymph nodes (ICD-10 Code C82.46)
Assessment:
- Diagnosis: Follicular lymphoma grade IIIb, intrapelvic lymph nodes.
- ICD-10 Code: C82.46.
- Contributing factors include advanced age and possible genetic predisposition.
- Patient presents with significant symptoms requiring intervention.
Plan:
- Initiate chemotherapy regimen (e.g., R-CHOP).
- Provide education on disease process and treatment options.
- Schedule regular follow-up appointments for monitoring.
- Consider referral to oncology for specialized care.
Treatment & Plan Section for ICD-10 Code C82.46 – Follicular lymphoma grade IIIb, intrapelvic lymph nodes
- First-line treatment includes combination chemotherapy (e.g., R-CHOP).
- Non-pharmacologic strategies include nutritional counseling and psychosocial support.
- Monitoring for treatment response through imaging and lab tests.
- Follow-up visits to assess for disease progression or recurrence.
Using ICD-10 Code C82.46 for Follicular lymphoma grade IIIb, intrapelvic 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 C82.46 based on standard medical coding practices.
Related ICD-10 Codes Often Used with Follicular lymphoma grade IIIb, intrapelvic lymph nodes
- C82.41 – Follicular lymphoma grade I, intrapelvic lymph nodes
- C82.42 – Follicular lymphoma grade II, intrapelvic lymph nodes
ICD-10 Code C82.46 in Medical Billing and Insurance for Follicular lymphoma grade IIIb, intrapelvic lymph nodes
ICD-10 Code C82.46 is critical in medical billing, particularly 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 this code in conjunction with appropriate CPT codes for chemotherapy administration.
- Ensure that the diagnosis is clearly linked to the services provided in the medical record.
- Review payer-specific guidelines for any additional documentation requirements.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 96413 | Chemotherapy administration, intravenous, push technique. |
| 96415 | Chemotherapy administration, intravenous, infusion technique. |
| 99214 | Established patient office visit, moderate complexity. |
| 85025 | Complete blood count with automated differential. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code C82.46 for Follicular lymphoma grade IIIb, intrapelvic lymph nodes
What are the common symptoms of Follicular lymphoma grade IIIb?
Common symptoms include abdominal pain, unexplained weight loss, night sweats, and fatigue. Patients may also experience lymphadenopathy, particularly in the pelvic region.
How is Follicular lymphoma grade IIIb treated?
Treatment typically involves chemotherapy regimens such as R-CHOP, which combines multiple agents to target malignant cells. Radiation therapy may also be considered based on individual patient factors.
When should ICD-10 Code C82.46 be used?
This code should be used when diagnosing patients with Follicular lymphoma grade IIIb specifically affecting the intrapelvic lymph nodes, ensuring accurate documentation and billing.
What is the prognosis for patients with Follicular lymphoma grade IIIb?
The prognosis can vary based on several factors, including the patient's overall health, response to treatment, and specific characteristics of the lymphoma. Regular follow-up is essential for monitoring.
