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ICD-10 Code C86.1 | Hepatosplenic T-cell lymphoma Symptoms, Diagnosis, Billing

Hepatosplenic T-cell lymphoma is a rare and aggressive form of non-Hodgkin lymphoma characterized by the proliferation of malignant T-cells primarily affecting the liver and spleen. It often arises in immunocompromised individuals, particularly those with a history of chronic infections or autoimmune diseases. Accurate coding with ICD-10 Code C86.1 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this serious condition.

What is ICD-10 Code C86.1 for Hepatosplenic T-cell lymphoma?

ICD-10 Code C86.1 specifically designates Hepatosplenic T-cell lymphoma, a subtype of peripheral T-cell lymphoma. This code should be used when documenting cases of this malignancy, which is often associated with immunosuppression and can lead to significant morbidity. It is crucial for accurate clinical documentation and billing, ensuring that healthcare providers can track and manage the disease effectively.

ICD-10 Code C86.1 – Clinical Definition and Explanation of Hepatosplenic T-cell lymphoma

Hepatosplenic T-cell lymphoma is primarily caused by the uncontrolled proliferation of T-lymphocytes, often linked to underlying immunosuppression. The condition can progress rapidly, leading to severe complications such as liver failure and systemic symptoms. Prompt medical attention is necessary to manage this aggressive lymphoma effectively.

Key Clinical Features:

  • Enlarged liver and spleen (hepatosplenomegaly)
  • Cytopenias due to bone marrow infiltration
  • B symptoms (fever, night sweats, weight loss)
  • Elevated lactate dehydrogenase (LDH) levels

ICD-10 Code C86.1 for Hepatosplenic T-cell lymphoma – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code C86.1 is utilized to document the diagnosis of Hepatosplenic T-cell lymphoma, aiding in the assessment of symptoms, clinical findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code C86.1 for Hepatosplenic T-cell lymphoma Mean in SOAP Notes?

ICD-10 Code C86.1 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Hepatosplenic T-cell lymphoma. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code C86.1 – Hepatosplenic T-cell lymphoma

Hepatosplenic T-cell lymphoma often necessitates urgent medical intervention, including hospitalization for intensive treatment. Standard approaches focus on chemotherapy and may involve targeted therapies.

Antibiotic Therapy:

  • Not applicable as this is not an infectious condition.

Supportive Care:

  • Management of symptoms such as pain and fever
  • Blood transfusions for cytopenias
  • Nutritional support
  • Psychosocial support

Infection Control:

  • Standard precautions to prevent infections
  • Monitoring for opportunistic infections due to immunosuppression
  • Isolation protocols if necessary

How to Document Symptoms of Hepatosplenic T-cell lymphoma (ICD-10 C86.1) in SOAP Notes

Subjective:

  • Patient reports fatigue and weakness
  • History of unexplained weight loss
  • Complaints of abdominal discomfort
  • Fever and night sweats noted by the patient

Objective:

  • Physical examination reveals hepatosplenomegaly
  • CBC shows leukopenia and thrombocytopenia
  • Elevated LDH levels
  • Imaging studies confirm splenic enlargement
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SOAP Note Guidelines for Diagnosing Hepatosplenic T-cell lymphoma (ICD-10 Code C86.1)

Assessment:

  • Diagnosis: Hepatosplenic T-cell lymphoma, aggressive subtype
  • ICD-10 Code: C86.1
  • Contributing factors: Immunosuppression, history of chronic infections
  • Severity: High due to rapid progression

Plan:

  • Initiate chemotherapy regimen as per oncology guidelines
  • Monitor blood counts regularly
  • Provide supportive care for symptoms
  • Schedule follow-up appointments for treatment response assessment

Treatment & Plan Section for ICD-10 Code C86.1 – Hepatosplenic T-cell lymphoma

  • First-line treatment includes combination chemotherapy regimens
  • Consider referral to hematology/oncology specialists
  • Educate patient on signs of infection and when to seek care
  • Regular follow-up for monitoring treatment efficacy and side effects

Using ICD-10 Code C86.1 for Hepatosplenic T-cell lymphoma in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings in SOAP notes
  • Use C86.1 in conjunction with relevant CPT codes for billing
  • Maintain compliance with coding guidelines to support reimbursement
  • Document treatment plans that align with clinical guidelines

    ICD-10 Code C86.1 in Medical Billing and Insurance for Hepatosplenic T-cell lymphoma

    ICD-10 Code C86.1 is crucial for billing in hospital, ER, or infectious disease care settings, ensuring accurate reimbursement for services rendered.

    Billing Notes:

    • Document all relevant clinical findings to support the diagnosis
    • Use C86.1 in appropriate clinical settings for accurate billing
    • Ensure that treatment plans are clearly outlined in the medical record
    • Include patient education and follow-up plans in documentation

    Common CPT Pairings:

    CPT CodeDescription
    96413Chemotherapy administration, intravenous, push, single or initial substance
    99223Initial hospital care, typically 70 minutes or more
    36415Collection of venous blood by venipuncture
    85025Complete blood count with automated differential white blood cell count

    Frequently Asked Questions

    Common Questions About Using ICD-10 Code C86.1 for Hepatosplenic T-cell lymphoma

    What are the common symptoms of Hepatosplenic T-cell lymphoma?

    Common symptoms include fatigue, unexplained weight loss, fever, night sweats, and abdominal discomfort due to hepatosplenomegaly.

    How is Hepatosplenic T-cell lymphoma diagnosed?

    Diagnosis typically involves clinical evaluation, imaging studies, and biopsy to confirm the presence of malignant T-cells in the liver and spleen.

    What treatment options are available for Hepatosplenic T-cell lymphoma?

    Treatment often includes chemotherapy, targeted therapies, and supportive care to manage symptoms and complications associated with the disease.

    Is Hepatosplenic T-cell lymphoma associated with any specific risk factors?

    Yes, it is often associated with immunosuppression, including conditions like HIV, autoimmune diseases, and prior organ transplants.

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