Non-Hodgkin lymphoma (NHL) is a diverse group of blood cancers that originate in the lymphatic system. The unspecified designation indicates that the specific subtype of NHL is not identified. Intrathoracic lymph nodes are involved, which can lead to respiratory symptoms and systemic effects. Accurate coding with ICD-10 Code C85.92 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that patients receive appropriate care and resources.
What is ICD-10 Code C85.92 for Non-Hodgkin lymphoma, unspecified, intrathoracic lymph nodes?
ICD-10 Code C85.92 represents Non-Hodgkin lymphoma that is unspecified and involves the intrathoracic lymph nodes. This code is used when the specific type of Non-Hodgkin lymphoma is not determined, but the presence of lymphadenopathy in the thoracic region is noted. It is crucial for clinical documentation and billing to ensure accurate representation of the patient's condition and to facilitate appropriate treatment and follow-up.
ICD-10 Code C85.92 – Clinical Definition and Explanation of Non-Hodgkin lymphoma, unspecified, intrathoracic lymph nodes
Non-Hodgkin lymphoma, unspecified, intrathoracic lymph nodes, is characterized by the proliferation of malignant lymphocytes within the lymphatic system, particularly affecting lymph nodes located in the thoracic cavity. The etiology may include genetic mutations, environmental factors, and immune system dysfunction. Prompt medical evaluation is necessary due to the potential for disease progression and systemic involvement.
Key Clinical Features:
- Presence of enlarged intrathoracic lymph nodes, often detected via imaging.
- Symptoms may include cough, chest pain, or respiratory distress.
- Potential for systemic symptoms such as fever, night sweats, and weight loss.
- Increased risk of infections due to compromised immune function.
ICD-10 Code C85.92 for Non-Hodgkin lymphoma, unspecified, intrathoracic lymph nodes – SOAP Notes & Clinical Use
ICD-10 Code C85.92 is utilized in SOAP notes to document the presence of Non-Hodgkin lymphoma affecting intrathoracic lymph nodes. This code aids 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 C85.92 for Non-Hodgkin lymphoma, unspecified, intrathoracic lymph nodes Mean in SOAP Notes?
In SOAP notes, ICD-10 Code C85.92 connects subjective reports of symptoms with objective clinical findings, facilitating a formal diagnosis. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.
Treatment Options for ICD-10 Code C85.92 – Non-Hodgkin lymphoma, unspecified, intrathoracic lymph nodes
Management of Non-Hodgkin lymphoma, unspecified, intrathoracic lymph nodes, often requires hospitalization for comprehensive evaluation and treatment. Chemotherapy and targeted therapies are common approaches.
Antibiotic Therapy:
- Not applicable as Non-Hodgkin lymphoma is not an infectious disease.
Supportive Care:
- Symptom management including pain control and antiemetics.
- Nutritional support to address weight loss and cachexia.
- Psychosocial support for emotional well-being.
Infection Control:
- Implement standard precautions to prevent infections.
- Monitor for signs of infection due to immunosuppression.
- Educate patients on hygiene practices to reduce infection risk.
How to Document Symptoms of Non-Hodgkin lymphoma, unspecified, intrathoracic lymph nodes (ICD-10 C85.92) in SOAP Notes
Subjective:
- Patient reports persistent cough and chest discomfort.
- History of unexplained weight loss over the past three months.
- Complaints of night sweats and fatigue.
- No known allergies or recent infections.
Objective:
- Physical examination reveals enlarged lymph nodes in the thoracic region.
- Chest X-ray shows mediastinal lymphadenopathy.
- Vital signs: BP 120/80 mmHg, HR 88 bpm, Temp 99.5°F.
- Laboratory tests indicate elevated lactate dehydrogenase (LDH) levels.
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SOAP Note Guidelines for Diagnosing Non-Hodgkin lymphoma, unspecified, intrathoracic lymph nodes (ICD-10 Code C85.92)
Assessment:
- Diagnosis: Non-Hodgkin lymphoma, unspecified, intrathoracic lymph nodes, moderate severity.
- ICD-10 Code: C85.92.
- Contributing factors: Possible genetic predisposition and environmental exposures.
- Monitor for progression and complications.
Plan:
- Initiate chemotherapy regimen based on oncologist's recommendation.
- Schedule follow-up imaging to assess treatment response.
- Provide patient education on potential side effects and supportive measures.
- Arrange for regular monitoring of blood counts and symptoms.
Treatment & Plan Section for ICD-10 Code C85.92 – Non-Hodgkin lymphoma, unspecified, intrathoracic lymph nodes
- First-line treatment typically includes chemotherapy agents such as CHOP (Cyclophosphamide, Doxorubicin, Vincristine, Prednisone).
- Consider radiation therapy for localized disease or symptomatic relief.
- Encourage lifestyle modifications, including a balanced diet and regular exercise as tolerated.
- Regular follow-up appointments for monitoring disease progression and treatment efficacy.
Using ICD-10 Code C85.92 for Non-Hodgkin lymphoma, unspecified, intrathoracic lymph nodes in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and clinical findings in the Subjective (S) and Objective (O) sections.
- Utilize C85.92 in billing to reflect the patient's diagnosis accurately.
- Align treatment plans with clinical guidelines to support justified billing.
- Include relevant CPT codes that correspond to the services provided.
Related ICD-10 Codes Often Used with Non-Hodgkin lymphoma, unspecified, intrathoracic lymph nodes
- C85.90 – Non-Hodgkin lymphoma, unspecified, unspecified site
- C85.91 – Non-Hodgkin lymphoma, unspecified, lymph nodes of head, face, and neck
- C85.93 – Non-Hodgkin lymphoma, unspecified, lymph nodes of axilla and upper limb
- C85.94 – Non-Hodgkin lymphoma, unspecified, lymph nodes of abdomen
ICD-10 Code C85.92 in Medical Billing and Insurance for Non-Hodgkin lymphoma, unspecified, intrathoracic lymph nodes
ICD-10 Code C85.92 is critical in medical billing, particularly in hospital, emergency room, or infectious disease care settings.
Billing Notes:
- Document all relevant clinical findings and patient history to support the use of C85.92.
- Ensure that the diagnosis aligns with the services rendered for accurate reimbursement.
- Use C85.92 in conjunction with other relevant codes to capture the full scope of the patient's condition.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 96413 | Chemotherapy administration, intravenous, push technique. |
| 36415 | Collection of venous blood by venipuncture. |
| 99214 | Established patient office visit, moderate complexity. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code C85.92 for Non-Hodgkin lymphoma, unspecified, intrathoracic lymph nodes
What are the common symptoms of Non-Hodgkin lymphoma?
Common symptoms include swollen lymph nodes, fever, night sweats, unexplained weight loss, and fatigue. Patients may also experience respiratory symptoms if intrathoracic lymph nodes are involved.
How is Non-Hodgkin lymphoma diagnosed?
Diagnosis typically involves a combination of physical examination, imaging studies (like CT scans), and biopsy of affected lymph nodes to confirm the presence of malignant cells.
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.
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.
