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ICD-10 Code C83.38 | Diffuse large B-cell lymphoma, lymph nodes of multiple sites Symptoms, Diagnosis, Billing

Diffuse large B-cell lymphoma (DLBCL) is a type of non-Hodgkin lymphoma characterized by the rapid proliferation of large B-cells in lymph nodes at multiple sites. It is clinically significant due to its aggressive nature and potential for widespread disease. Accurate coding with ICD-10 Code C83.38 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 C83.38 for Diffuse large B-cell lymphoma, lymph nodes of multiple sites?

ICD-10 Code C83.38 represents Diffuse large B-cell lymphoma affecting lymph nodes in multiple sites. This code is used when documenting cases of DLBCL that do not fall under more specific classifications. It is crucial for accurate clinical documentation and billing, particularly when managing patients with this aggressive form of lymphoma.

ICD-10 Code C83.38 – Clinical Definition and Explanation of Diffuse large B-cell lymphoma, lymph nodes of multiple sites

Diffuse large B-cell lymphoma is a hematological malignancy that arises from B-lymphocytes and is characterized by the presence of large, atypical cells. The condition can progress rapidly, leading to significant morbidity and mortality if not treated promptly. Medical attention is critical for diagnosis and management.

Key Clinical Features:

  • Rapidly enlarging lymph nodes, often painless.
  • B symptoms such as fever, night sweats, and weight loss.
  • Potential for extranodal involvement, including the spleen and bone marrow.
  • Commonly affects adults, with a higher incidence in older populations.

ICD-10 Code C83.38 for Diffuse large B-cell lymphoma, lymph nodes of multiple sites – SOAP Notes & Clinical Use

ICD-10 Code C83.38 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. It is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and facilitating appropriate management strategies.

What Does ICD-10 Code C83.38 for Diffuse large B-cell lymphoma, lymph nodes of multiple sites Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C83.38 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Diffuse large B-cell lymphoma. This coding ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code C83.38 – Diffuse large B-cell lymphoma, lymph nodes of multiple sites

Diffuse large B-cell lymphoma requires urgent medical intervention, often necessitating hospitalization for intensive treatment. Standard approaches include chemotherapy and, in some cases, radiation therapy.

Antibiotic Therapy:

  • Not applicable as DLBCL is not an infectious disease requiring antibiotics.

Supportive Care:

  • Management of symptoms such as pain and nausea.
  • Nutritional support to maintain strength during treatment.
  • Psychosocial support for emotional well-being.

Infection Control:

  • Standard precautions to prevent infections due to immunosuppression.
  • Monitoring for signs of infection during treatment.

How to Document Symptoms of Diffuse large B-cell lymphoma, lymph nodes of multiple sites (ICD-10 C83.38) in SOAP Notes

Subjective:

  • Patient reports painless swelling in multiple lymph node regions.
  • Experiencing night sweats and unintentional weight loss.
  • Complains of fatigue and decreased appetite.

Objective:

  • Physical examination reveals enlarged cervical and axillary lymph nodes.
  • Vital signs: temperature 101°F, heart rate 90 bpm.
  • Laboratory results show elevated lactate dehydrogenase (LDH) levels.
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SOAP Note Guidelines for Diagnosing Diffuse large B-cell lymphoma, lymph nodes of multiple sites (ICD-10 Code C83.38)

Assessment:

  • Diagnosis: Diffuse large B-cell lymphoma, lymph nodes of multiple sites, aggressive type.
  • ICD-10 Code: C83.38.
  • Contributing factors: Age, possible genetic predisposition.

Plan:

  • Initiate chemotherapy regimen (e.g., R-CHOP).
  • Educate patient on treatment side effects and management.
  • Schedule follow-up appointments for monitoring response to therapy.

Treatment & Plan Section for ICD-10 Code C83.38 – Diffuse large B-cell lymphoma, lymph nodes of multiple sites

  • First-line treatment typically includes combination chemotherapy (e.g., R-CHOP).
  • Non-pharmacologic strategies include nutritional support and psychosocial counseling.
  • Monitoring includes regular imaging studies and laboratory tests to assess treatment response.
  • Follow-up practices involve scheduling regular oncology visits for ongoing assessment.

Using ICD-10 Code C83.38 for Diffuse large B-cell lymphoma, lymph nodes of multiple sites 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 C83.38 based on standard medical coding practices.

ICD-10 Code C83.38 in Medical Billing and Insurance for Diffuse large B-cell lymphoma, lymph nodes of multiple sites

ICD-10 Code C83.38 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Ensure thorough documentation of the diagnosis and treatment plan to support claims.
  • Use this code in conjunction with appropriate CPT codes for chemotherapy administration.
  • Document any complications or comorbidities that may affect billing.

Common CPT Pairings:

CPT CodeDescription
96413Chemotherapy administration, intravenous, push technique.
96415Chemotherapy administration, intravenous, infusion technique.
99223Initial hospital care, typically 70 minutes or more.
85025Complete blood count with differential.

Frequently Asked Questions

Common Questions About Using ICD-10 Code C83.38 for Diffuse large B-cell lymphoma, lymph nodes of multiple sites

What are the common symptoms of Diffuse large B-cell lymphoma?

Common symptoms include painless swelling of lymph nodes, fever, night sweats, and unexplained weight loss. Patients may also experience fatigue and loss of appetite.

How is Diffuse large B-cell lymphoma diagnosed?

Diagnosis typically involves a combination of physical examination, imaging studies, and biopsy of affected lymph nodes to confirm the presence of large B-cells.

What treatments are available for Diffuse large B-cell lymphoma?

Treatment usually involves chemotherapy, often in combination with immunotherapy. Radiation therapy may also be used in certain cases, depending on the extent of the disease.

Is Diffuse large B-cell lymphoma curable?

Diffuse large B-cell lymphoma can be curable, especially if diagnosed early and treated promptly. The prognosis varies based on several factors, including the patient's age and overall health.

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