Enteropathy-type (intestinal) T-cell lymphoma is a rare and aggressive form of non-Hodgkin lymphoma that primarily affects the intestines. It is associated with chronic inflammatory conditions, particularly celiac disease. Accurate coding with ICD-10 Code C86.2 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively track and manage this serious condition.
What is ICD-10 Code C86.2 for Enteropathy-type (intestinal) T-cell lymphoma?
ICD-10 Code C86.2 represents Enteropathy-type (intestinal) T-cell lymphoma, a malignancy characterized by the proliferation of T-lymphocytes in the intestinal mucosa. This code should be used when documenting cases of this lymphoma, particularly in patients with underlying gastrointestinal disorders, to ensure accurate billing and clinical management.
ICD-10 Code C86.2 – Clinical Definition and Explanation of Enteropathy-type (intestinal) T-cell lymphoma
Enteropathy-type (intestinal) T-cell lymphoma is a rare hematological malignancy that arises in the intestinal tract, often linked to chronic enteropathy, particularly celiac disease. It requires prompt medical attention due to its aggressive nature and potential for rapid progression.
Key Clinical Features:
- Chronic diarrhea and weight loss
- Abdominal pain and distension
- Malabsorption and nutritional deficiencies
- Presence of intestinal ulcers or masses
ICD-10 Code C86.2 for Enteropathy-type (intestinal) T-cell lymphoma – SOAP Notes & Clinical Use
ICD-10 Code C86.2 is utilized in SOAP notes to document the clinical presentation, assessment, and treatment of patients with Enteropathy-type (intestinal) T-cell lymphoma. This code aids in capturing the severity and complexity of the condition in both acute and chronic care settings.
What Does ICD-10 Code C86.2 for Enteropathy-type (intestinal) T-cell lymphoma Mean in SOAP Notes?
In SOAP notes, ICD-10 Code C86.2 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Enteropathy-type (intestinal) T-cell lymphoma. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.
Treatment Options for ICD-10 Code C86.2 – Enteropathy-type (intestinal) T-cell lymphoma
Management of Enteropathy-type (intestinal) T-cell lymphoma often necessitates hospitalization due to its aggressive nature. Treatment may include chemotherapy and supportive care to manage symptoms.
Antibiotic Therapy:
- Not applicable as this is not an infectious condition.
Supportive Care:
- Nutritional support and management of malabsorption
- Symptom management for abdominal pain and diarrhea
- Monitoring for complications such as intestinal obstruction
Infection Control:
- Standard precautions should be followed to prevent infections in immunocompromised patients.
How to Document Symptoms of Enteropathy-type (intestinal) T-cell lymphoma (ICD-10 C86.2) in SOAP Notes
Subjective:
- Patient reports chronic diarrhea for several months
- History of weight loss and fatigue
- Complaints of abdominal pain and bloating
- Previous diagnosis of celiac disease
Objective:
- Abdominal tenderness on examination
- Weight loss of 10% over the past month
- Laboratory findings indicating malabsorption
- Imaging showing intestinal masses or ulcers
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SOAP Note Guidelines for Diagnosing Enteropathy-type (intestinal) T-cell lymphoma (ICD-10 Code C86.2)
Assessment:
- Diagnosis of Enteropathy-type (intestinal) T-cell lymphoma, aggressive subtype
- ICD-10 Code C86.2
- Contributing factors include chronic celiac disease and malabsorption
- Patient presents with significant weight loss and gastrointestinal symptoms.
Plan:
- Initiate chemotherapy regimen as per oncology guidelines
- Provide nutritional support and monitor dietary intake
- Schedule follow-up imaging to assess treatment response
- Educate patient on symptom management and potential complications.
Treatment & Plan Section for ICD-10 Code C86.2 – Enteropathy-type (intestinal) T-cell lymphoma
- First-line treatment typically includes multi-agent chemotherapy
- Consider referral to a dietitian for nutritional management
- Regular monitoring of blood counts and nutritional status
- Follow-up appointments to assess treatment efficacy and adjust care plan as needed.
Using ICD-10 Code C86.2 for Enteropathy-type (intestinal) T-cell lymphoma in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and clinical findings in SOAP notes
- Use C86.2 in conjunction with relevant procedure codes for billing
- Maintain compliance with clinical guidelines for treatment and documentation
- Document all relevant patient history and treatment plans to support billing claims.
Related ICD-10 Codes Often Used with Enteropathy-type (intestinal) T-cell lymphoma
ICD-10 Code C86.2 in Medical Billing and Insurance for Enteropathy-type (intestinal) T-cell lymphoma
ICD-10 Code C86.2 is critical for accurate billing in hospital, ER, or infectious disease care settings.
Billing Notes:
- Document all relevant clinical findings to support the use of C86.2
- Ensure that the diagnosis is clearly linked to the patient's symptoms and treatment plan
- Use C86.2 in conjunction with procedure codes for comprehensive billing
- Maintain thorough records to facilitate insurance claims.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 96413 | Chemotherapy administration, intravenous, push, single or initial substance |
| 99223 | Initial hospital care, typically 70 minutes or more of total time spent on the date of the encounter |
Frequently Asked Questions
Common Questions About Using ICD-10 Code C86.2 for Enteropathy-type (intestinal) T-cell lymphoma
What are the common symptoms of Enteropathy-type (intestinal) T-cell lymphoma?
Common symptoms include chronic diarrhea, weight loss, abdominal pain, and signs of malabsorption. Patients may also experience fatigue and nutritional deficiencies due to the disease's impact on the intestines.
How is Enteropathy-type (intestinal) T-cell lymphoma diagnosed?
Diagnosis typically involves a combination of clinical evaluation, imaging studies, and biopsy of intestinal tissue to confirm the presence of T-cell lymphoma. Laboratory tests may also be conducted to assess nutritional status.
What treatment options are available for Enteropathy-type (intestinal) T-cell lymphoma?
Treatment often includes chemotherapy, nutritional support, and management of symptoms. In some cases, stem cell transplantation may be considered depending on the patient's condition and response to initial therapy.
Is Enteropathy-type (intestinal) T-cell lymphoma related to celiac disease?
Yes, Enteropathy-type (intestinal) T-cell lymphoma is often associated with celiac disease and can develop in patients with long-standing untreated or poorly managed celiac disease.
