Anaplastic large cell lymphoma (ALCL), ALK-negative, is a subtype of non-Hodgkin lymphoma characterized by the proliferation of large, atypical lymphoid cells. This condition primarily affects lymph nodes and can present with systemic symptoms such as fever, weight loss, and night sweats. The ICD-10 code C84.78 facilitates accurate diagnosis, documentation, and billing, ensuring proper treatment and public health reporting.
What is ICD-10 Code C84.78 for Anaplastic large cell lymphoma, ALK-neg, nodes mult site?
ICD-10 Code C84.78 represents Anaplastic large cell lymphoma, ALK-negative, affecting multiple lymph nodes. This code is used when documenting cases of ALCL that do not express the anaplastic lymphoma kinase (ALK) protein, which is significant for treatment decisions and prognosis. It is essential for accurate clinical documentation and billing in healthcare settings.
ICD-10 Code C84.78 – Clinical Definition and Explanation of Anaplastic large cell lymphoma, ALK-neg, nodes mult site
Anaplastic large cell lymphoma, ALK-negative, is a malignant lymphoproliferative disorder that arises from T-cells and is characterized by the presence of large, atypical lymphoid cells. The condition can progress rapidly and requires prompt medical intervention. Early diagnosis is crucial for effective management and treatment.
Key Clinical Features:
- Presence of large, atypical lymphoid cells in lymph nodes.
- Common systemic symptoms include fever, weight loss, and night sweats.
- May present with lymphadenopathy in multiple sites.
- Can be associated with skin lesions or extranodal involvement.
ICD-10 Code C84.78 for Anaplastic large cell lymphoma, ALK-neg, nodes mult site – SOAP Notes & Clinical Use
ICD-10 Code C84.78 is utilized in SOAP notes to document the clinical presentation, assessment, and treatment of patients with Anaplastic large cell lymphoma, ALK-negative. This code aids in capturing the complexity of the condition and supports appropriate billing in both acute and chronic care settings.
What Does ICD-10 Code C84.78 for Anaplastic large cell lymphoma, ALK-neg, nodes mult site Mean in SOAP Notes?
In SOAP notes, ICD-10 Code C84.78 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Anaplastic large cell lymphoma, ALK-negative. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.
Treatment Options for ICD-10 Code C84.78 – Anaplastic large cell lymphoma, ALK-neg, nodes mult site
Anaplastic large cell lymphoma, ALK-negative, requires urgent medical attention and often necessitates hospitalization for treatment. Chemotherapy is the primary treatment modality.
Antibiotic Therapy:
- Not applicable as ALCL is not an infectious disease.
Supportive Care:
- Management of symptoms such as pain and fever.
- Nutritional support to address weight loss.
- Psychosocial support for patients and families.
Infection Control:
- Standard precautions to prevent infections during treatment.
- Monitoring for febrile neutropenia in patients undergoing chemotherapy.
How to Document Symptoms of Anaplastic large cell lymphoma, ALK-neg, nodes mult site (ICD-10 C84.78) in SOAP Notes
Subjective:
- Patient reports persistent fatigue and unexplained weight loss.
- Complaints of night sweats and fever over the past month.
- Notable lymphadenopathy in cervical and axillary regions.
Objective:
- Physical examination reveals enlarged lymph nodes in multiple sites.
- Laboratory tests show elevated lactate dehydrogenase (LDH) levels.
- Imaging studies indicate lymphadenopathy and possible extranodal involvement.
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SOAP Note Guidelines for Diagnosing Anaplastic large cell lymphoma, ALK-neg, nodes mult site (ICD-10 Code C84.78)
Assessment:
- Diagnosis: Anaplastic large cell lymphoma, ALK-negative, affecting multiple lymph nodes.
- ICD-10 Code: C84.78.
- Contributing factors include possible viral infections and immunosuppression.
Plan:
- Initiate chemotherapy regimen as per oncology guidelines.
- Provide education on potential side effects and symptom management.
- Schedule follow-up appointments for monitoring treatment response.
Treatment & Plan Section for ICD-10 Code C84.78 – Anaplastic large cell lymphoma, ALK-neg, nodes mult site
- First-line treatment typically includes combination chemotherapy regimens.
- Non-pharmacologic strategies involve nutritional support and psychosocial counseling.
- Monitoring includes regular imaging and laboratory tests to assess treatment efficacy.
- Follow-up practices should be scheduled every 1-3 months post-treatment initiation.
Using ICD-10 Code C84.78 for Anaplastic large cell lymphoma, ALK-neg, nodes mult site 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 C84.78 based on standard medical coding practices.
Related ICD-10 Codes Often Used with Anaplastic large cell lymphoma, ALK-neg, nodes mult site
- C84.79 – Anaplastic large cell lymphoma, ALK-neg, other sites
- C83.90 – Hodgkin lymphoma, unspecified site
- C84.70 – Anaplastic large cell lymphoma, ALK-pos, nodes mult site
ICD-10 Code C84.78 in Medical Billing and Insurance for Anaplastic large cell lymphoma, ALK-neg, nodes mult site
ICD-10 Code C84.78 is critical for accurate billing in hospital, ER, or infectious disease care settings.
Billing Notes:
- Ensure documentation includes detailed patient history and clinical findings.
- Use the code in settings where the diagnosis is confirmed and treatment initiated.
- Highlight key chart elements such as lab results and imaging studies to support claims.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 96413 | Chemotherapy administration, intravenous, push, single or initial substance. |
| 85025 | Complete blood count (CBC) with automated differential. |
| 77021 | CT scan of the chest, abdomen, and pelvis. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code C84.78 for Anaplastic large cell lymphoma, ALK-neg, nodes mult site
What are the common symptoms of Anaplastic large cell lymphoma?
Common symptoms include swollen lymph nodes, fever, night sweats, and unexplained weight loss. Patients may also experience fatigue and skin lesions.
How is Anaplastic large cell lymphoma diagnosed?
Diagnosis typically involves a combination of physical examination, imaging studies, and biopsy of affected lymph nodes to confirm the presence of atypical lymphoid cells.
What is the treatment for Anaplastic large cell lymphoma?
Treatment usually involves chemotherapy, and in some cases, radiation therapy may be utilized. Supportive care is also important to manage symptoms and side effects.
Is Anaplastic large cell lymphoma curable?
The prognosis for Anaplastic large cell lymphoma varies based on factors such as stage at diagnosis and response to treatment. Some patients achieve remission, while others may have a more challenging course.
