ICD-10 Code C84.64 | Anaplstc lg cell lymph, ALK-pos, nodes of axla and upr limb Symptoms, Diagnosis, Billing

Anaplastic large cell lymphoma (ALCL) is a type of non-Hodgkin lymphoma characterized by the presence of large, atypical lymphoid cells. The ALK-positive variant is associated with a specific genetic alteration involving the anaplastic lymphoma kinase gene. This condition primarily affects lymph nodes in the axilla and upper limb, leading to significant clinical implications, including potential systemic symptoms and treatment challenges. Accurate coding with ICD-10 Code C84.64 is essential for proper diagnosis, documentation, medical billing, and public health reporting.

What is ICD-10 Code C84.64 for Anaplstc lg cell lymph, ALK-pos, nodes of axla and upr limb?

ICD-10 Code C84.64 designates anaplastic large cell lymphoma, ALK-positive, specifically affecting the lymph nodes of the axilla and upper limb. This code is used when documenting cases of ALCL that exhibit the ALK gene alteration, which is crucial for determining treatment options and prognosis. It should be applied in clinical documentation and billing when the diagnosis is confirmed through histopathological examination.

ICD-10 Code C84.64 – Clinical Definition and Explanation of Anaplstc lg cell lymph, ALK-pos, nodes of axla and upr limb

Anaplastic large cell lymphoma (ALCL), ALK-positive, is a hematological malignancy that arises from T-cell lineage and is characterized by the presence of large, atypical lymphoid cells. The ALK-positive variant is associated with a chromosomal translocation that leads to the overexpression of the ALK protein, contributing to tumorigenesis. This condition requires prompt medical attention due to its aggressive nature and potential for systemic involvement.

Key Clinical Features:

• Presence of enlarged lymph nodes in the axilla and upper limb.
• Systemic symptoms such as fever, night sweats, and weight loss.
• Histological confirmation through biopsy showing large atypical lymphoid cells.
• Association with specific genetic alterations (ALK positivity).

ICD-10 Code C84.64 for Anaplstc lg cell lymph, ALK-pos, nodes of axla and upr limb – SOAP Notes & Clinical Use

ICD-10 Code C84.64 is utilized in SOAP notes to document the diagnosis of anaplastic large cell lymphoma, ALK-positive, affecting the axillary and upper limb lymph nodes. This code plays a critical role in capturing the patient's symptoms, assessment findings, and treatment plans, ensuring comprehensive documentation in both acute and chronic care settings.

What Does ICD-10 Code C84.64 for Anaplstc lg cell lymph, ALK-pos, nodes of axla and upr limb Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C84.64 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of anaplastic large cell lymphoma, ALK-positive. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting electronic health record documentation standards.

Treatment Options for ICD-10 Code C84.64 – Anaplstc lg cell lymph, ALK-pos, nodes of axla and upr limb

The management of anaplastic large cell lymphoma, ALK-positive, typically involves a combination of chemotherapy and targeted therapies. Hospitalization may be required for intensive treatment and monitoring.

Antibiotic Therapy:

• Not applicable as ALCL is not an infectious disease.

Supportive Care:

• Management of symptoms such as pain and fever.
• Nutritional support and hydration.
• Psychosocial support for patients and families.

Infection Control:

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

How to Document Symptoms of Anaplstc lg cell lymph, ALK-pos, nodes of axla and upr limb (ICD-10 C84.64) in SOAP Notes

Subjective:

• Patient reports persistent swelling in the axillary region.
• Complaints of unexplained weight loss over the past month.
• Experiencing night sweats and fatigue.
• No history of recent infections or travel.

Objective:

• Physical examination reveals enlarged lymph nodes in the left axilla.
• Vital signs: Temperature 100.5°F, pulse 88 bpm, BP 120/80 mmHg.
• Laboratory tests show elevated lactate dehydrogenase (LDH).
• Biopsy results confirm ALK-positive anaplastic large cell lymphoma.

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SOAP Note Guidelines for Diagnosing Anaplstc lg cell lymph, ALK-pos, nodes of axla and upr limb (ICD-10 Code C84.64)

Assessment:

• Diagnosis: Anaplastic large cell lymphoma, ALK-positive, affecting axillary lymph nodes.
• Severity: Aggressive lymphoma requiring immediate treatment.
• ICD-10 Code: C84.64.
• Contributing factors: Genetic predisposition and environmental exposures.

Plan:

• Initiate chemotherapy regimen including CHOP (Cyclophosphamide, Doxorubicin, Vincristine, Prednisone).
• Consider referral to oncology for targeted therapy options.
• Educate patient on potential side effects and importance of follow-up.
• Schedule follow-up appointment in 4 weeks for reassessment.

Treatment & Plan Section for ICD-10 Code C84.64 – Anaplstc lg cell lymph, ALK-pos, nodes of axla and upr limb

• First-line pharmacologic treatment includes combination chemotherapy regimens.
• Non-pharmacologic strategies involve nutritional support and psychosocial counseling.
• Monitoring includes regular imaging studies and laboratory tests to assess treatment response.
• Follow-up practices should include scheduled visits to evaluate for recurrence or complications.

Using ICD-10 Code C84.64 for Anaplstc lg cell lymph, ALK-pos, nodes of axla and upr limb 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 C84.64 based on standard medical coding practices.

Related ICD-10 Codes Often Used with Anaplstc lg cell lymph, ALK-pos, nodes of axla and upr limb

• C84.60 – Anaplastic large cell lymphoma, unspecified site
• C84.61 – Anaplastic large cell lymphoma, ALK-negative, nodes of axilla and upper limb

ICD-10 Code C84.64 in Medical Billing and Insurance for Anaplstc lg cell lymph, ALK-pos, nodes of axla and upr limb

ICD-10 Code C84.64 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.

Billing Notes:

• Ensure comprehensive documentation of the diagnosis and treatment plan to support claims.
• Use this code in conjunction with relevant CPT codes for accurate billing.
• Document any complications or comorbidities that may affect treatment and billing.
• Verify insurance coverage for chemotherapy and related services.

Common CPT Pairings: