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ICD-10 Code C84.06 | Mycosis fungoides, intrapelvic lymph nodes Symptoms, Diagnosis, Billing

Mycosis fungoides is a type of cutaneous T-cell lymphoma characterized by the infiltration of malignant T-cells in the skin. When it involves the intrapelvic lymph nodes, it indicates a more advanced stage of the disease, necessitating accurate coding with ICD-10 Code C84.06 for effective diagnosis, documentation, billing, and public health reporting.

What is ICD-10 Code C84.06 for Mycosis fungoides, intrapelvic lymph nodes?

ICD-10 Code C84.06 specifically denotes Mycosis fungoides affecting the intrapelvic lymph nodes. This condition represents a progression of cutaneous T-cell lymphoma, where malignant cells spread to lymphatic tissues in the pelvic region. This code should be utilized in clinical documentation and billing when the disease is confirmed to involve these lymph nodes.

ICD-10 Code C84.06 – Clinical Definition and Explanation of Mycosis fungoides, intrapelvic lymph nodes

Mycosis fungoides is a rare form of non-Hodgkin lymphoma that primarily affects the skin but can progress to involve lymph nodes, including those in the intrapelvic region. This condition requires prompt medical attention due to its potential for systemic involvement and complications.

Key Clinical Features:

  • Presence of skin lesions that may be patchy, plaque-like, or tumor-forming.
  • Lymphadenopathy in the pelvic region, indicating disease progression.
  • Potential for systemic symptoms such as fever, weight loss, and night sweats.
  • Histological confirmation of malignant T-cell infiltration in lymph nodes.

ICD-10 Code C84.06 for Mycosis fungoides, intrapelvic lymph nodes – SOAP Notes & Clinical Use

ICD-10 Code C84.06 is essential in SOAP notes for documenting the presence of Mycosis fungoides affecting the intrapelvic lymph nodes. It aids in capturing the severity of the condition, guiding treatment decisions, and ensuring accurate billing in both acute and chronic care settings.

What Does ICD-10 Code C84.06 for Mycosis fungoides, intrapelvic lymph nodes Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C84.06 connects subjective patient reports and objective clinical findings to a formal diagnosis of Mycosis fungoides involving intrapelvic lymph nodes. This ensures continuity of care, supports appropriate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code C84.06 – Mycosis fungoides, intrapelvic lymph nodes

Management of Mycosis fungoides affecting intrapelvic lymph nodes often requires a multidisciplinary approach, including systemic therapies and supportive care.

Antibiotic Therapy:

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

Supportive Care:

  • Symptom management through corticosteroids to reduce inflammation.
  • Use of topical therapies for skin lesions.
  • Psychosocial support for patients coping with chronic illness.

Infection Control:

  • Standard precautions to prevent secondary infections.
  • Monitoring for signs of opportunistic infections due to immunosuppression.

How to Document Symptoms of Mycosis fungoides, intrapelvic lymph nodes (ICD-10 C84.06) in SOAP Notes

Subjective:

  • Patient reports persistent skin lesions with itching.
  • History of weight loss and fatigue over the past few months.
  • Complaints of pelvic discomfort and swelling.
  • No known allergies reported.

Objective:

  • Physical examination reveals multiple erythematous plaques on the skin.
  • Palpable lymphadenopathy in the inguinal region.
  • Laboratory tests show elevated lactate dehydrogenase (LDH).
  • Biopsy confirms T-cell lymphoma in skin and lymph nodes.
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SOAP Note Guidelines for Diagnosing Mycosis fungoides, intrapelvic lymph nodes (ICD-10 Code C84.06)

Assessment:

  • Diagnosis: Mycosis fungoides, intrapelvic lymph nodes, Stage II.
  • ICD-10 Code: C84.06.
  • Contributing factors include advanced disease and immunosuppression.
  • Patient's symptoms are consistent with disease progression.

Plan:

  • Initiate systemic therapy with chemotherapy or targeted agents.
  • Educate patient on disease management and symptom monitoring.
  • Schedule follow-up appointments for treatment response evaluation.
  • Consider referral to oncology for specialized care.

Treatment & Plan Section for ICD-10 Code C84.06 – Mycosis fungoides, intrapelvic lymph nodes

  • First-line pharmacologic treatments may include systemic chemotherapy or biologic agents.
  • Non-pharmacologic strategies include patient education on skin care and lifestyle modifications.
  • Monitoring should involve regular follow-ups and imaging studies to assess disease progression.
  • Follow-up practices include tracking treatment response and managing side effects.

Using ICD-10 Code C84.06 for Mycosis fungoides, 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 C84.06 based on standard medical coding practices.

ICD-10 Code C84.06 in Medical Billing and Insurance for Mycosis fungoides, intrapelvic lymph nodes

ICD-10 Code C84.06 is crucial for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Ensure documentation includes detailed clinical findings and treatment plans.
  • Use the code in settings where the patient is diagnosed or treated for Mycosis fungoides.
  • Highlight key chart elements such as biopsy results and treatment responses.
  • Maintain compliance with coding guidelines to avoid claim denials.

Common CPT Pairings:

CPT CodeDescription
96413Chemotherapy administration, intravenous, push technique.
85025Complete blood count with automated differential white blood cell count.
88305Pathology examination of tissue, including biopsy.

Frequently Asked Questions

Common Questions About Using ICD-10 Code C84.06 for Mycosis fungoides, intrapelvic lymph nodes

What are the common symptoms of Mycosis fungoides?

Common symptoms include skin lesions that may appear as patches or plaques, itching, and lymphadenopathy. Patients may also experience systemic symptoms like fever and weight loss.

How is Mycosis fungoides diagnosed?

Diagnosis typically involves a combination of clinical examination, biopsy of skin lesions, and imaging studies to assess lymph node involvement.

Is Mycosis fungoides contagious?

No, Mycosis fungoides is not contagious. It is a type of cancer that arises from T-cells and cannot be transmitted from person to person.

What treatment options are available for Mycosis fungoides?

Treatment options may include topical therapies, systemic chemotherapy, and radiation therapy, depending on the stage and severity of the disease.

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