Non-Hodgkin lymphoma, unspecified, spleen is a type of hematological malignancy characterized by the uncontrolled proliferation of lymphoid tissue in the spleen. The etiology is often multifactorial, including genetic predispositions and environmental factors. Accurate coding with ICD-10 Code C85.97 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively track and manage this condition.
What is ICD-10 Code C85.97 for Non-Hodgkin lymphoma, unspecified, spleen?
ICD-10 Code C85.97 represents Non-Hodgkin lymphoma, unspecified, spleen, indicating a malignant neoplasm of lymphoid tissue localized in the spleen without further specification. This code is utilized in clinical documentation and billing when the diagnosis is confirmed but lacks detailed classification, ensuring appropriate treatment and reimbursement.
ICD-10 Code C85.97 – Clinical Definition and Explanation of Non-Hodgkin lymphoma, unspecified, spleen
Non-Hodgkin lymphoma, unspecified, spleen is a heterogeneous group of lymphoid malignancies that can arise from various types of lymphocytes. The condition may progress silently, leading to splenomegaly and systemic symptoms, necessitating prompt medical evaluation and intervention.
Key Clinical Features:
- Splenomegaly or abdominal discomfort due to spleen enlargement.
- Fatigue, fever, and night sweats as systemic symptoms.
- Lymphadenopathy in other regions may be present.
- Potential for rapid progression to more aggressive forms.
ICD-10 Code C85.97 for Non-Hodgkin lymphoma, unspecified, spleen – SOAP Notes & Clinical Use
ICD-10 Code C85.97 is integral in SOAP notes for documenting the patient's symptoms, assessment findings, and treatment plans. It is relevant in both acute and chronic care settings, facilitating clear communication among healthcare providers and ensuring comprehensive patient management.
What Does ICD-10 Code C85.97 for Non-Hodgkin lymphoma, unspecified, spleen Mean in SOAP Notes?
In SOAP notes, ICD-10 Code C85.97 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Non-Hodgkin lymphoma, unspecified, spleen. This code supports continuity of care, aids in billing processes, and meets EHR documentation standards.
Treatment Options for ICD-10 Code C85.97 – Non-Hodgkin lymphoma, unspecified, spleen
The management of Non-Hodgkin lymphoma, unspecified, spleen may require hospitalization for intensive treatment and monitoring. Treatment approaches are tailored based on the patient's clinical status and disease characteristics.
Antibiotic Therapy:
- Not applicable as Non-Hodgkin lymphoma is not an infectious condition.
Supportive Care:
- Symptom management including pain relief and nutritional support.
- Monitoring for complications such as infections or bleeding.
- Psychosocial support for patients and families.
Infection Control:
- Standard precautions to prevent infections in immunocompromised patients.
- Education on hygiene and avoidance of sick contacts.
How to Document Symptoms of Non-Hodgkin lymphoma, unspecified, spleen (ICD-10 C85.97) in SOAP Notes
Subjective:
- Patient reports persistent fatigue and unexplained weight loss.
- Complaints of abdominal discomfort and fullness.
- History of night sweats and intermittent fever.
- No significant past medical history of lymphoproliferative disorders.
Objective:
- Physical examination reveals splenomegaly.
- Lymph nodes palpated in cervical and axillary regions.
- Vital signs: temperature 100.4°F, heart rate 88 bpm.
- Laboratory tests show elevated lactate dehydrogenase (LDH).
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SOAP Note Guidelines for Diagnosing Non-Hodgkin lymphoma, unspecified, spleen (ICD-10 Code C85.97)
Assessment:
- Diagnosis: Non-Hodgkin lymphoma, unspecified, spleen, moderate severity.
- ICD-10 Code: C85.97.
- Contributing factors: Possible environmental exposures and genetic predisposition.
- Monitor for progression and complications.
Plan:
- Initiate chemotherapy regimen based on oncologist's recommendations.
- Provide education on disease process and treatment options.
- Schedule follow-up appointments for monitoring response to therapy.
- Consider referral to palliative care for symptom management.
Treatment & Plan Section for ICD-10 Code C85.97 – Non-Hodgkin lymphoma, unspecified, spleen
- First-line treatment may include chemotherapy agents such as CHOP (Cyclophosphamide, Doxorubicin, Vincristine, Prednisone).
- Non-pharmacologic strategies include nutritional support and psychosocial counseling.
- Monitoring for treatment response through imaging and laboratory tests.
- Follow-up practices include regular assessments of splenomegaly and symptomatology.
Using ICD-10 Code C85.97 for Non-Hodgkin lymphoma, unspecified, spleen 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 C85.97 based on standard medical coding practices.
Related ICD-10 Codes Often Used with Non-Hodgkin lymphoma, unspecified, spleen
- C85.90 – Non-Hodgkin lymphoma, unspecified, site unspecified
- C85.92 – 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 mediastinum
ICD-10 Code C85.97 in Medical Billing and Insurance for Non-Hodgkin lymphoma, unspecified, spleen
ICD-10 Code C85.97 is crucial for accurate billing in hospital, ER, or infectious disease care settings.
Billing Notes:
- Ensure comprehensive documentation of patient history and clinical findings to support the diagnosis.
- Use this code in conjunction with relevant CPT codes for treatment and procedures.
- Maintain clear records of all assessments and interventions to facilitate reimbursement.
- Review coding guidelines regularly to ensure compliance with payer requirements.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 96413 | Chemotherapy administration, intravenous, push technique. |
| 85025 | Complete blood count (CBC) with automated differential. |
| 74176 | CT scan of abdomen and pelvis with contrast. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code C85.97 for Non-Hodgkin lymphoma, unspecified, spleen
What are the common symptoms of Non-Hodgkin lymphoma?
Common symptoms include unexplained weight loss, fever, night sweats, and swollen lymph nodes. Patients may also experience abdominal discomfort due to splenomegaly.
How is Non-Hodgkin lymphoma diagnosed?
Diagnosis typically involves a combination of physical examination, imaging studies, and biopsy of affected lymphoid tissue to confirm the presence of malignant cells.
What treatment options are available for Non-Hodgkin lymphoma?
Treatment options may include chemotherapy, radiation therapy, and targeted therapies, depending on the specific subtype 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.
