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ICD-10 Code C83.390 | Primary central nervous system lymphoma Symptoms, Diagnosis, Billing

Primary central nervous system lymphoma (PCNSL) is a rare and aggressive form of non-Hodgkin lymphoma that originates in the brain or spinal cord. It is characterized by the proliferation of lymphoid cells within the central nervous system (CNS). Accurate coding with ICD-10 Code C83.390 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this serious condition.

What is ICD-10 Code C83.390 for Primary central nervous system lymphoma?

ICD-10 Code C83.390 represents Primary central nervous system lymphoma, a malignancy that arises from lymphoid tissue in the CNS. This code should be used when documenting cases of PCNSL, particularly when the diagnosis is confirmed through imaging or biopsy. It is crucial for accurate billing and tracking of this condition in clinical settings.

ICD-10 Code C83.390 – Clinical Definition and Explanation of Primary central nervous system lymphoma

Primary central nervous system lymphoma is primarily caused by the proliferation of B-lymphocytes within the CNS, often associated with immunocompromised states such as HIV/AIDS. The disease can progress rapidly, leading to neurological deficits and requires prompt medical intervention.

Key Clinical Features:

  • Common symptoms include headaches, seizures, cognitive changes, and focal neurological deficits.
  • Typically presents in immunocompromised individuals, particularly those with HIV.
  • Diagnosis is confirmed through MRI imaging and histopathological examination.
  • May present with solitary or multiple lesions in the brain or spinal cord.

ICD-10 Code C83.390 for Primary central nervous system lymphoma – SOAP Notes & Clinical Use

ICD-10 Code C83.390 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 and facilitating appropriate management.

What Does ICD-10 Code C83.390 for Primary central nervous system lymphoma Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C83.390 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Primary central nervous system lymphoma. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code C83.390 – Primary central nervous system lymphoma

Primary central nervous system lymphoma requires urgent medical attention, often necessitating hospitalization for treatment. Standard approaches include chemotherapy and radiation therapy.

Antibiotic Therapy:

  • Not applicable as PCNSL is not an infectious condition.

Supportive Care:

  • Management of symptoms such as headaches and seizures.
  • Nutritional support and hydration.
  • Psychosocial support for patients and families.

Infection Control:

  • Standard precautions to prevent infections in immunocompromised patients.

How to Document Symptoms of Primary central nervous system lymphoma (ICD-10 C83.390) in SOAP Notes

Subjective:

  • Patient reports persistent headaches worsening over the past month.
  • Complaints of new-onset seizures occurring twice in the last week.
  • Cognitive difficulties noted by family members, including confusion and memory loss.
  • No history of recent infections or travel.

Objective:

  • Neurological examination reveals focal deficits.
  • MRI shows a solitary enhancing lesion in the right parietal lobe.
  • Vital signs stable; no fever or signs of systemic infection.
  • Laboratory tests indicate normal blood counts.
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SOAP Note Guidelines for Diagnosing Primary central nervous system lymphoma (ICD-10 Code C83.390)

Assessment:

  • Diagnosis of Primary central nervous system lymphoma (ICD-10 Code C83.390) confirmed.
  • Severity classified as aggressive due to rapid progression.
  • Immunocompromised status may be a contributing factor.

Plan:

  • Initiate chemotherapy regimen with methotrexate.
  • Consider radiation therapy based on response to initial treatment.
  • Schedule follow-up MRI in 4-6 weeks to assess treatment response.
  • Provide education on potential side effects and symptom management.

Treatment & Plan Section for ICD-10 Code C83.390 – Primary central nervous system lymphoma

  • First-line treatment typically includes high-dose methotrexate-based chemotherapy.
  • Consideration of radiation therapy for localized lesions.
  • Monitoring for treatment-related complications and neurological status.
  • Patient education on signs of infection and symptom management.

Using ICD-10 Code C83.390 for Primary central nervous system lymphoma in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings in the Subjective (S) and Objective (O) sections.
  • Use C83.390 for all billing related to confirmed cases of PCNSL.
  • Align treatment plans with clinical guidelines to support justified billing.
  • Include relevant CPT codes that correspond to the services provided.

ICD-10 Code C83.390 in Medical Billing and Insurance for Primary central nervous system lymphoma

ICD-10 Code C83.390 is critical in medical billing, particularly in hospital and emergency settings for patients with Primary central nervous system lymphoma.

Billing Notes:

  • Document all relevant clinical findings and treatment plans to support the ICD-10 claim.
  • Use C83.390 in inpatient and outpatient settings where PCNSL is diagnosed.
  • Ensure that all chart elements align with coding guidelines for accurate reimbursement.

Common CPT Pairings:

CPT CodeDescription
96413Chemotherapy administration, intravenous, push technique.
77014Radiologic guidance for needle placement.
70553MRI brain with contrast.

Frequently Asked Questions

Common Questions About Using ICD-10 Code C83.390 for Primary central nervous system lymphoma

What are the common symptoms of Primary central nervous system lymphoma?

Common symptoms include headaches, seizures, cognitive changes, and focal neurological deficits. Patients may also experience confusion and memory loss, particularly in advanced stages.

How is Primary central nervous system lymphoma diagnosed?

Diagnosis typically involves MRI imaging to identify lesions, followed by a biopsy to confirm the presence of lymphoma cells. Clinical history and neurological examination are also critical.

What treatments are available for Primary central nervous system lymphoma?

Treatment usually involves high-dose methotrexate-based chemotherapy, with radiation therapy considered for localized lesions. Supportive care is also essential for managing symptoms.

Is Primary central nervous system lymphoma contagious?

No, Primary central nervous system lymphoma is not contagious. It is a malignancy that arises from the body's own lymphoid tissue, often in immunocompromised individuals.

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