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ICD-10 Code C86.21 | Enteropathy-type (intestinal) T-cell lymphoma, in remission Symptoms, Diagnosis, Billing

Enteropathy-type (intestinal) T-cell lymphoma, in remission is a rare form of non-Hodgkin lymphoma characterized by the proliferation of T-cells in the intestinal mucosa. It is often associated with celiac disease or other enteropathies. Accurate coding with ICD-10 Code C86.21 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 C86.21 for Enteropathy-type (intestinal) T-cell lymphoma, in remission?

ICD-10 Code C86.21 represents Enteropathy-type (intestinal) T-cell lymphoma, in remission, a condition where malignant T-cells infiltrate the intestinal mucosa, often linked to chronic intestinal inflammation. This code is used when the patient is in remission, indicating a response to treatment. It is crucial for clinical documentation and billing to reflect the patient's current health status accurately.

ICD-10 Code C86.21 – Clinical Definition and Explanation of Enteropathy-type (intestinal) T-cell lymphoma, in remission

Enteropathy-type (intestinal) T-cell lymphoma, in remission, is a hematological malignancy that arises from the transformation of intestinal intraepithelial lymphocytes into malignant T-cells. This condition often progresses from chronic intestinal inflammation and requires prompt medical attention due to its potential complications.

Key Clinical Features:

  • Associated with chronic enteropathy, particularly celiac disease.
  • Symptoms may include abdominal pain, diarrhea, and weight loss.
  • Diagnosis is confirmed through biopsy showing atypical T-cells.
  • Patients may experience remission following chemotherapy or immunotherapy.

ICD-10 Code C86.21 for Enteropathy-type (intestinal) T-cell lymphoma, in remission – SOAP Notes & Clinical Use

ICD-10 Code C86.21 is utilized in SOAP notes to document the patient's remission status, guiding treatment plans and follow-up care. It plays a vital role in both acute and chronic care settings, ensuring comprehensive patient management and accurate billing.

What Does ICD-10 Code C86.21 for Enteropathy-type (intestinal) T-cell lymphoma, in remission Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C86.21 connects subjective patient reports and objective clinical findings to a formal diagnosis of Enteropathy-type (intestinal) T-cell lymphoma, in remission. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code C86.21 – Enteropathy-type (intestinal) T-cell lymphoma, in remission

Management of Enteropathy-type (intestinal) T-cell lymphoma, in remission, focuses on maintaining remission and monitoring for recurrence.

Antibiotic Therapy:

  • Not typically indicated unless secondary infections arise.
  • Consider prophylactic antibiotics in immunocompromised patients.

Supportive Care:

  • Nutritional support to manage malabsorption.
  • Regular follow-up for monitoring remission status.
  • Symptomatic treatment for gastrointestinal symptoms.

Infection Control:

  • Standard precautions to prevent infections.
  • Educate patients on hygiene practices.

How to Document Symptoms of Enteropathy-type (intestinal) T-cell lymphoma, in remission (ICD-10 C86.21) in SOAP Notes

Subjective:

  • Patient reports intermittent abdominal pain.
  • History of diarrhea and weight loss prior to remission.
  • No current symptoms of gastrointestinal distress.
  • Patient expresses concern about potential recurrence.

Objective:

  • Vital signs stable: BP 120/80, HR 72, Temp 98.6°F.
  • Abdominal examination reveals no tenderness or distension.
  • Laboratory tests show normal complete blood count.
  • Imaging studies indicate no signs of active disease.
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SOAP Note Guidelines for Diagnosing Enteropathy-type (intestinal) T-cell lymphoma, in remission (ICD-10 Code C86.21)

Assessment:

  • Diagnosis: Enteropathy-type (intestinal) T-cell lymphoma, in remission.
  • ICD-10 Code: C86.21.
  • Triggers: Previous history of celiac disease.
  • No current evidence of disease activity.

Plan:

  • Continue monitoring with regular follow-ups.
  • Educate patient on signs of recurrence.
  • Consider nutritional counseling for dietary management.
  • Schedule follow-up appointment in 3 months.

Treatment & Plan Section for ICD-10 Code C86.21 – Enteropathy-type (intestinal) T-cell lymphoma, in remission

  • Monitor for recurrence with regular imaging and lab tests.
  • Provide dietary recommendations to manage symptoms.
  • Educate on the importance of follow-up care.
  • Encourage patient to report any new symptoms immediately.

Using ICD-10 Code C86.21 for Enteropathy-type (intestinal) T-cell lymphoma, in remission in Billing & SOAP Note Compliance

  • Ensure accurate documentation of remission status in SOAP notes.
  • Use C86.21 for billing when the patient is in remission.
  • Document any relevant symptoms or treatment changes.
  • Align treatment plans with clinical guidelines for justified billing.

ICD-10 Code C86.21 in Medical Billing and Insurance for Enteropathy-type (intestinal) T-cell lymphoma, in remission

ICD-10 Code C86.21 is crucial for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Document remission status clearly to support claims.
  • Use in conjunction with treatment codes for comprehensive billing.
  • Ensure all relevant patient history is included in documentation.
  • Follow payer-specific guidelines for coding.

Common CPT Pairings:

CPT CodeDescription
99214Established patient office visit, moderate complexity.
85025Complete blood count with differential.
74176CT abdomen and pelvis with contrast.
96413Chemotherapy administration, intravenous.

Frequently Asked Questions

Common Questions About Using ICD-10 Code C86.21 for Enteropathy-type (intestinal) T-cell lymphoma, in remission

What does it mean for Enteropathy-type T-cell lymphoma to be in remission?

Remission indicates that the signs and symptoms of Enteropathy-type T-cell lymphoma have significantly decreased or are no longer present, often as a result of effective treatment. Regular monitoring is essential to ensure that the disease does not recur.

How is Enteropathy-type T-cell lymphoma diagnosed?

Diagnosis typically involves a combination of clinical evaluation, imaging studies, and biopsy of intestinal tissue to identify atypical T-cells. Laboratory tests may also be conducted to assess overall health and rule out other conditions.

What are the common treatments for Enteropathy-type T-cell lymphoma?

Treatment often includes chemotherapy, immunotherapy, and supportive care to manage symptoms. Nutritional support is also critical, especially for patients with malabsorption issues related to the disease.

How often should patients with Enteropathy-type T-cell lymphoma in remission be monitored?

Patients should have regular follow-up appointments, typically every 3 to 6 months, to monitor for any signs of recurrence and to manage any ongoing symptoms or complications.

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