Non-Hodgkin lymphoma (NHL) is a diverse group of blood cancers that originate in the lymphatic system. The unspecified nature of ICD-10 Code C85.90 indicates that the specific type or site of the lymphoma is not documented. Accurate coding with C85.90 is crucial for proper diagnosis, treatment planning, billing, and public health reporting, ensuring that patients receive appropriate care and resources are allocated effectively.
What is ICD-10 Code C85.90 for Non-Hodgkin lymphoma, unspecified, unspecified site?
ICD-10 Code C85.90 represents Non-Hodgkin lymphoma that is unspecified and does not indicate a specific site of involvement. This code is used when the precise type of lymphoma is not determined or documented, which can occur in initial assessments or when further diagnostic workup is pending. It is essential for clinical documentation and billing to accurately reflect the patient's condition.
ICD-10 Code C85.90 – Clinical Definition and Explanation of Non-Hodgkin lymphoma, unspecified, unspecified site
Non-Hodgkin lymphoma encompasses a variety of lymphoid malignancies characterized by the uncontrolled proliferation of lymphocytes. The exact cause remains unclear, but factors such as genetic predisposition, immune system deficiencies, and environmental exposures may contribute. Prompt diagnosis and treatment are critical due to the potential for aggressive disease progression.
Key Clinical Features:
- Painless lymphadenopathy in one or more regions.
- B symptoms: fever, night sweats, and unexplained weight loss.
- Fatigue and weakness due to anemia or systemic involvement.
- Possible splenomegaly or hepatomegaly on physical examination.
ICD-10 Code C85.90 for Non-Hodgkin lymphoma, unspecified, unspecified site – SOAP Notes & Clinical Use
ICD-10 Code C85.90 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. It plays a vital role in both acute and chronic care settings, ensuring that the patient's condition is accurately recorded and that appropriate interventions are implemented.
What Does ICD-10 Code C85.90 for Non-Hodgkin lymphoma, unspecified, unspecified site Mean in SOAP Notes?
In SOAP notes, ICD-10 Code C85.90 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Non-Hodgkin lymphoma. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.
Treatment Options for ICD-10 Code C85.90 – Non-Hodgkin lymphoma, unspecified, unspecified site
The management of Non-Hodgkin lymphoma requires a tailored approach based on the specific type and stage of the disease. Hospitalization may be necessary for severe cases or complications.
Antibiotic Therapy:
- Not applicable as Non-Hodgkin lymphoma is not an infectious disease.
Supportive Care:
- Symptom management including pain control and treatment of anemia.
- Nutritional support to maintain strength and energy.
- Psychosocial support for emotional well-being.
Infection Control:
- Standard precautions to prevent infections, especially in immunocompromised patients.
- Monitoring for signs of infection due to potential immunosuppression.
How to Document Symptoms of Non-Hodgkin lymphoma, unspecified, unspecified site (ICD-10 C85.90) in SOAP Notes
Subjective:
- Patient reports painless swelling in the neck and axilla.
- Experiencing night sweats and unintentional weight loss of 10 lbs over the past month.
- Complains of persistent fatigue and decreased appetite.
- No history of recent infections or travel.
Objective:
- Physical examination reveals enlarged cervical and axillary lymph nodes.
- Vital signs: BP 120/80, HR 85, Temp 99.5°F.
- Laboratory results show mild anemia with hemoglobin at 10.5 g/dL.
- CT scan indicates lymphadenopathy in multiple regions.
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SOAP Note Guidelines for Diagnosing Non-Hodgkin lymphoma, unspecified, unspecified site (ICD-10 Code C85.90)
Assessment:
- Diagnosis: Non-Hodgkin lymphoma, unspecified, unspecified site, moderate severity.
- ICD-10 Code: C85.90.
- Contributing factors: Possible genetic predisposition and environmental exposure.
- Further diagnostic workup required to determine specific type.
Plan:
- Refer to oncology for further evaluation and treatment planning.
- Consider imaging studies and biopsy for definitive diagnosis.
- Educate patient on symptoms to monitor and when to seek immediate care.
- Schedule follow-up appointment in one week to review results.
Treatment & Plan Section for ICD-10 Code C85.90 – Non-Hodgkin lymphoma, unspecified, unspecified site
- Initiate chemotherapy based on oncologist's recommendations.
- Monitor for side effects and adjust supportive care as needed.
- Encourage lifestyle modifications to enhance overall health.
- Regular follow-up appointments to assess treatment response.
Using ICD-10 Code C85.90 for Non-Hodgkin lymphoma, unspecified, unspecified site in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
- Use C85.90 when the specific type of Non-Hodgkin lymphoma is not identified.
- Align treatment plans with clinical guidelines to support justified billing.
- Include relevant CPT codes that correspond to diagnostic and treatment services.
Related ICD-10 Codes Often Used with Non-Hodgkin lymphoma, unspecified, unspecified site
- C82.90 – Follicular lymphoma, unspecified, unspecified site
- C83.90 – Diffuse large B-cell lymphoma, unspecified, unspecified site
- C84.90 – Peripheral T-cell lymphoma, unspecified, unspecified site
- C85.91 – Non-Hodgkin lymphoma, unspecified, lymph nodes of head, face, and neck
ICD-10 Code C85.90 in Medical Billing and Insurance for Non-Hodgkin lymphoma, unspecified, unspecified site
ICD-10 Code C85.90 is critical in medical billing, particularly in hospital and emergency room settings, where accurate coding is essential for reimbursement.
Billing Notes:
- Document all relevant clinical findings and patient history to support the use of C85.90.
- Use this code in settings where the specific type of lymphoma is not yet determined.
- Ensure that all chart elements align with coding guidelines to avoid claim denials.
- Review coding updates regularly to maintain compliance with payer requirements.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 85025 | Complete blood count (CBC) with automated differential. |
| 88305 | Pathology examination of tissue for lymphoma diagnosis. |
| 70450 | CT scan of the abdomen and pelvis for staging. |
| 96413 | Chemotherapy administration, intravenous, push technique. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code C85.90 for Non-Hodgkin lymphoma, unspecified, unspecified site
What are the common symptoms of Non-Hodgkin lymphoma?
Common symptoms include painless swelling of lymph nodes, fever, night sweats, unexplained weight loss, and fatigue. Patients may also experience abdominal discomfort or fullness due to splenomegaly.
How is Non-Hodgkin lymphoma diagnosed?
Diagnosis typically involves a combination of physical examination, imaging studies, and biopsy of lymph nodes or affected tissue. Blood tests may also be conducted to assess overall health.
Is Non-Hodgkin lymphoma contagious?
No, Non-Hodgkin lymphoma is not contagious. It is a type of cancer that arises from the lymphatic system and is not spread from person to person.
What treatment options are available for Non-Hodgkin lymphoma?
Treatment options may include chemotherapy, radiation therapy, targeted therapy, and immunotherapy, depending on the specific type and stage of the lymphoma.
