ICD-10 Code C84.04 | Mycosis fungoides, lymph nodes of axilla and upper limb Symptoms, Diagnosis, Billing

Mycosis fungoides is a type of cutaneous T-cell lymphoma characterized by the infiltration of malignant T-lymphocytes in the skin and lymph nodes, particularly affecting the lymph nodes of the axilla and upper limb. This condition is clinically significant due to its potential progression to more advanced stages of lymphoma. The ICD-10 Code C84.04 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track this condition.

What is ICD-10 Code C84.04 for Mycosis fungoides, lymph nodes of axilla and upper limb?

ICD-10 Code C84.04 specifically denotes Mycosis fungoides affecting the lymph nodes of the axilla and upper limb. This code is utilized when documenting cases where the disease has progressed to involve lymphatic tissues in these regions. It is essential for accurate clinical documentation and billing, particularly in oncology settings, to ensure appropriate treatment and resource allocation.

ICD-10 Code C84.04 – Clinical Definition and Explanation of Mycosis fungoides, lymph nodes of axilla and upper limb

Mycosis fungoides is a rare form of non-Hodgkin lymphoma that primarily affects the skin but can also involve lymph nodes, particularly in the axillary and upper limb regions. The condition arises from the malignant transformation of T-lymphocytes, leading to skin lesions and potential lymphadenopathy. Early recognition and treatment are crucial to prevent disease progression.

Key Clinical Features:

• Presence of erythematous patches or plaques on the skin.
• Lymphadenopathy in the axillary and upper limb regions.
• Potential progression to more aggressive forms of lymphoma.
• Symptoms may include pruritus and discomfort in affected areas.

ICD-10 Code C84.04 for Mycosis fungoides, lymph nodes of axilla and upper limb – SOAP Notes & Clinical Use

ICD-10 Code C84.04 is integral to SOAP notes, serving 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 strategies.

What Does ICD-10 Code C84.04 for Mycosis fungoides, lymph nodes of axilla and upper limb Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C84.04 connects subjective patient reports and objective clinical findings to a formal diagnosis of Mycosis fungoides. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code C84.04 – Mycosis fungoides, lymph nodes of axilla and upper limb

Management of Mycosis fungoides requires a multidisciplinary approach, often necessitating hospitalization for advanced cases. Treatment may include systemic therapies and localized interventions.

Antibiotic Therapy:

• Not applicable as Mycosis fungoides is not an infectious condition.

Supportive Care:

• Topical corticosteroids to reduce inflammation.
• Phototherapy for skin lesions.
• Systemic therapies such as retinoids or chemotherapy for advanced disease.

Infection Control:

• Standard precautions to prevent secondary infections.
• Monitoring for signs of infection in immunocompromised patients.

How to Document Symptoms of Mycosis fungoides, lymph nodes of axilla and upper limb (ICD-10 C84.04) in SOAP Notes

Subjective:

• Patient reports persistent itching in the axillary region.
• History of erythematous patches on the skin for several months.
• Notable weight loss and fatigue over the past few weeks.

Objective:

• Physical examination reveals enlarged lymph nodes in the axilla.
• Skin examination shows multiple erythematous plaques.
• Laboratory tests indicate elevated lactate dehydrogenase (LDH) levels.

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SOAP Note Guidelines for Diagnosing Mycosis fungoides, lymph nodes of axilla and upper limb (ICD-10 Code C84.04)

Assessment:

• Diagnosis of Mycosis fungoides, lymph nodes of axilla and upper limb, classified as stage II.
• ICD-10 Code C84.04 applied for billing and documentation.
• Contributing factors include chronic skin lesions and lymphadenopathy.

Plan:

• Initiate topical corticosteroid therapy for skin lesions.
• Refer for phototherapy and consider systemic treatment options.
• Schedule follow-up in 4 weeks to assess treatment response.

Treatment & Plan Section for ICD-10 Code C84.04 – Mycosis fungoides, lymph nodes of axilla and upper limb

• First-line treatment includes topical corticosteroids and phototherapy.
• Consider systemic therapies such as methotrexate or bexarotene for advanced cases.
• Regular monitoring of skin lesions and lymph node size.
• Patient education on skin care and symptom management.

Using ICD-10 Code C84.04 for Mycosis fungoides, lymph nodes of axilla and upper limb in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in the Subjective (S) and Objective (O) sections.
• Use C84.04 for all relevant encounters related to Mycosis fungoides.
• Align treatment plans with clinical guidelines to support justified billing.
• Include any relevant CPT codes that correspond with the treatment provided.

Related ICD-10 Codes Often Used with Mycosis fungoides, lymph nodes of axilla and upper limb

• C84.00 – Mycosis fungoides, unspecified site
• C84.01 – Mycosis fungoides, skin of head, face, and neck
• C84.02 – Mycosis fungoides, skin of trunk
• C84.03 – Mycosis fungoides, skin of upper limb

ICD-10 Code C84.04 in Medical Billing and Insurance for Mycosis fungoides, lymph nodes of axilla and upper limb

ICD-10 Code C84.04 is critical for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings and treatment plans to support the use of C84.04.
• Ensure that the code is used in conjunction with appropriate CPT codes for services rendered.
• Maintain clear and concise notes to facilitate the billing process.

Common CPT Pairings: