ICD-10 Codes for Reporting Hodgkin's Lymphoma (Hodgkin's disease)

1. ICD-10 Codes for Reporting Hodgkin's Lymphoma (Hodgkin's disease) Hodgkin lymphoma is an uncommon cancer that develops in the lymphatic system. Here is a detailed overview of the condition along with the ICD-10 codes. Outsource Strategies International United States

2. Hodgkin's lymphoma is a type of cancer that develops in the lymphatic system, which is a network of vessels and glands spread throughout your body. The lymphatic system (which is part of your immune system)is a network of nodes (knots of tissue) connected by vessels that drain fluids and other waste products from the body and fight infections (caused by bacteria, viruses, and fungi). The lymph nodes act as tiny filters, straining out foreign organisms and cells. Clear fluid called “lymph” flows through the lymphatic vessels and contains infection-fighting white blood cells, known as lymphocytes. The condition is a relatively aggressive type of cancer that quickly spreads throughout the body, if left untreated. Treatment modality for the same will depend on the general health and age of the patient and how far the cancer has spread through the body. Top treatment modalities include chemotherapy, followed by radiotherapy or chemotherapy alone. Surgery is generally not recommended as a treatment option for the condition. With appropriate and timely treatment, the serious complications caused by Hodgkin's lymphoma can be reversed. It is important for physicians to instruct their medical coding outsourcing service providers or clinical staff to be specific and document their diagnosis and medical procedures with accurate medical codes. Also called Hodgkin disease (HD), the condition can develop at any age, but it most commonly affects people between 20-40 years and those over 55 years. In fact, the chances of occurrence are more common in men than women. The exact cause of Hodgkin lymphoma is unknown. However, your risk of getting infected by this condition increases if you suffer from a medical condition that weakens your immune system,DNA mutations or changes, if you consume immunosuppressant medications or if you have been exposed to a common virus called the Epstein-Barr virus (EBV - which causes glandular fever). In addition, a person is also at high risk of developing Hodgkin lymphoma if a first-degree relative (parent, sibling or www.outsourcestrategies.com 918-221-7769

3. child) has had the condition earlier. HD can be either classic Hodgkin’s disease or nodular lymphocytic predominant Hodgkin’s lymphoma (NLPHL). Types of Hodgkin's Lymphoma There are two different types of Hodgkin's lymphoma. Diagnosis of the specific type of lymphoma is based on the types of cells involved and their behavior. The type of lymphoma a person is diagnosed with determines their treatment options. Classical Hodgkin's lymphoma– Regarded as a common type of lymphoma, people diagnosed with classical HD have large, abnormal cells (called Reed-Sternberg cells) in their lymph nodes. Subtypes of classical Hodgkin's lymphoma include - Nodular sclerosis Hodgkin's lymphoma (NSHL) Mixed cellularity Hodgkin's lymphoma (MCCHL) Lymphocyte-depleted Hodgkin's lymphoma Lymphocyte-rich Hodgkin's lymphoma Nodular lymphocyte-predominant Hodgkin's lymphoma –A rare type of Hodgkin's lymphoma, this condition involves large, abnormal cells that are sometimes called popcorn cells because of their appearance. People suffering from this type of lymphoma may have a higher chance of a cure when the disease is diagnosed at an early stage. What Are the Symptoms of HD? One of the most common symptoms associated with the condition is swelling of the lymph nodes, which causes a lump to form under the skin. In most cases, this lump is not painful and may form in one or more of the following areas like - on the side of the neck, in the armpit and around the groin. Other related symptoms include – Unexplained weight loss www.outsourcestrategies.com 918-221-7769

4. Persistent fatigue Persistent cough, trouble breathing, chest pain Pain in the lymph nodes after consuming alcohol Night sweats Itchy skin Fever Enlarged spleen Diagnosing and Treating HD To diagnose HD, the physician will perform a detailed physical exam wherein they will check for swollen lymph nodes, including in the neck, underarm and groin, as well as a swollen spleen or liver. They will also ask questions about the patient’s previous medical history. Blood tests may be conducted to analyze the complete blood count (CBC), to measure levels of red blood cells, white blood cells, and platelets and to check if anything in the patient’s blood indicates the possibility of cancer. Imaging tests like X-ray, CT and positron emission tomography may be performed to look for signs of HD in other areas of the body. In addition, lung function tests and an echocardiogram may also be performed to determine how well the lungs are working. Physicians may also conduct other tests - lymph node biopsy (to remove a lymph node for lab testing) and bone marrow biopsy and aspiration procedure (inserting a needle into your hipbone to remove a sample of bone marrow) in order to look for Hodgkin's lymphoma cells. Once the physician correctly determines the extent of HD cells, they will assign a specific stage for the cancer. Staging describes the extent and severity of the disease. It will alsohelpthe physician determine the patient’s prognosis and treatment options. There are four general stages of HD – Stage 1 (early stage) - cancer is found in one lymph node region or one area of a single organ. www.outsourcestrategies.com 918-221-7769

5. Stage 2 (locally advanced disease)– cancer is found in two lymph node regions (on one side of the diaphragm - which is the muscle beneath your lung), or in one lymph node region as well as in a nearby organ. Stage 3 (advanced disease)– when cancer is found in lymph nodes both above and below the diaphragm. Cancer may also be in one portion of tissue or an organ near the lymph node groups or in the spleen. Stage 4 (widespread disease)– cancer cells are found outside the lymph nodes and in several portions of one or more organs and tissues such as the bone marrow, liver, or lung. Treatment for Hodgkin's lymphoma typically depends on the stage of the disease. As mentioned above, the main treatment options are chemotherapy and radiation. If patients don’t respond properly to chemotherapy or radiation, immunotherapy or a stem cell transplant may also be used. A stem cell transplant infuses healthy cells called stem cells into the patient’s body to replace the cancerous cells in the bone marrow. The diagnosis, screening tests and other treatment procedures performed by oncologists, radiologists or other specialists must be documented by reporting the correct medical billing codes. Medical billing and coding services offered by reliable providers ensure that accurate claims submission is done. ICD-10 codes used for diagnosing Hodgkin's lymphoma include – ICD-10 Codes for HD C81 - Hodgkin lymphoma C81.0 - Nodular lymphocyte predominant Hodgkin lymphoma C81.00 - Nodular lymphocyte predominant Hodgkin lymphoma, unspecified site C81.01 - Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of head, face, and neck www.outsourcestrategies.com 918-221-7769

6. C81.02 - Nodular lymphocyte predominant Hodgkin lymphoma, intrathoracic lymph nodes C81.03 - Nodular lymphocyte predominant Hodgkin lymphoma, intra-abdominal lymph nodes C81.04 - Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of axilla and upper limb C81.05 - Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of inguinal region and lower limb C81.06 - Nodular lymphocyte predominant Hodgkin lymphoma, intrapelvic lymph nodes C81.07 - Nodular lymphocyte predominant Hodgkin lymphoma, spleen C81.08 - Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of multiple sites C81.09 - Nodular lymphocyte predominant Hodgkin lymphoma, extranodal and solid organ sites C81.1 - Nodular sclerosis Hodgkin lymphoma C81.10 - Nodular sclerosis Hodgkin lymphoma, unspecified site C81.11 - Nodular sclerosis Hodgkin lymphoma, lymph nodes of head, face, and neck C81.12 - Nodular sclerosis Hodgkin lymphoma, intrathoracic lymph nodes C81.13 - Nodular sclerosis Hodgkin lymphoma, intra-abdominal lymph nodes C81.14 - Nodular sclerosis Hodgkin lymphoma, lymph nodes of axilla and upper limb C81.15 - Nodular sclerosis Hodgkin lymphoma, lymph nodes of inguinal region and lower limb C81.16 - Nodular sclerosis Hodgkin lymphoma, intrapelvic lymph nodes www.outsourcestrategies.com 918-221-7769

7. C81.17 - Nodular sclerosis Hodgkin lymphoma, spleen C81.18 - Nodular sclerosis Hodgkin lymphoma, lymph nodes of multiple sites C81.19 - Nodular sclerosis Hodgkin lymphoma, extranodal and solid organ sites  C81.2 - Mixed cellularity Hodgkin lymphoma  C81.20 - Mixed cellularity Hodgkin lymphoma, unspecified site  C81.21 - Mixed cellularity Hodgkin lymphoma, lymph nodes of head, face, and neck  C81.22 - Mixed cellularity Hodgkin lymphoma, intrathoracic lymph nodes  C81.23 - Mixed cellularity Hodgkin lymphoma, intra-abdominal lymph nodes  C81.24 - Mixed cellularity Hodgkin lymphoma, lymph nodes of axilla and upper limb  C81.25 - Mixed cellularity Hodgkin lymphoma ,lymph nodes of inguinal region and lower limb  C81.26 - Mixed cellularity Hodgkin lymphoma, intrapelvic lymph nodes  C81.27 - Mixed cellularity Hodgkin lymphoma, spleen  C81.28 - Mixed cellularity Hodgkin lymphoma, lymph nodes of multiple sites  C81.29 - Mixed cellularity Hodgkin lymphoma, extranodal and solid organ sites  C81.3 - Lymphocyte depleted Hodgkin lymphoma  C81.30 - Lymphocyte depleted Hodgkin lymphoma, unspecified site  C81.31 - Lymphocyte depleted Hodgkin lymphoma, lymph nodes of head, face, and neck www.outsourcestrategies.com 918-221-7769

8.  C81.32 - Lymphocyte depleted Hodgkin lymphoma, intrathoracic lymph nodes  C81.33 - Lymphocyte depleted Hodgkin lymphoma, intra- abdominal lymph nodes  C81.34 - Lymphocyte depleted Hodgkin lymphoma, lymph nodes of axilla and upper limb  C81.35 - Lymphocyte depleted Hodgkin lymphoma, lymph nodes of inguinal region and lower limb  C81.36 - Lymphocyte depleted Hodgkin lymphoma, intrapelvic lymph nodes  C81.37 - Lymphocyte depleted Hodgkin lymphoma, spleen  C81.38 - Lymphocyte depleted Hodgkin lymphoma, lymph nodes of multiple sites  C81.39 - Lymphocyte depleted Hodgkin lymphoma, extranodal and solid organ sites  C81.4 - Lymphocyte-rich Hodgkin lymphoma  C81.40 - Lymphocyte-rich Hodgkin lymphoma, unspecified site  C81.41 - Lymphocyte-rich Hodgkin lymphoma, lymph nodes of head, face, and neck  C81.42 - Lymphocyte-rich Hodgkin lymphoma, intrathoracic lymph nodes  C81.43 - Lymphocyte-rich Hodgkin lymphoma, intra-abdominal lymph nodes  C81.44 - Lymphocyte-rich Hodgkin lymphoma, lymph nodes of axilla and upper limb  C81.45 - Lymphocyte-rich Hodgkin lymphoma, lymph nodes of inguinal region and lower limb  C81.46 - Lymphocyte-rich Hodgkin lymphoma, intrapelvic lymph nodes  C81.47 - Lymphocyte-rich Hodgkin lymphoma, spleen www.outsourcestrategies.com 918-221-7769

9.  C81.48 - Lymphocyte-rich Hodgkin lymphoma, lymph nodes of multiple sites  C81.49 - Lymphocyte-rich Hodgkin lymphoma, extranodal and solid organ sites C81.7 - Other Hodgkin lymphoma  C81.70 - Other Hodgkin lymphoma, unspecified site  C81.71 - Other Hodgkin lymphoma, lymph nodes of head, face, and neck  C81.72 - Other Hodgkin lymphoma, intrathoracic lymph nodes  C81.73 - Other Hodgkin lymphoma, intra-abdominal lymph nodes  C81.74 - Other Hodgkin lymphoma, lymph nodes of axilla and upper limb  C81.75 - Other Hodgkin lymphoma, lymph nodes of inguinal region and lower limb  C81.76 - Other Hodgkin lymphoma, intrapelvic lymph nodes  C81.77 - Other Hodgkin lymphoma, spleen  C81.78 - Other Hodgkin lymphoma, lymph nodes of multiple sites  C81.79 - Other Hodgkin lymphoma, extranodal and solid organ sites  C81.9 - Hodgkin lymphoma, unspecified  C81.90 - Hodgkin lymphoma, unspecified, unspecified site  C81.91 - Hodgkin lymphoma, unspecified, lymph nodes of head, face, and neck  C81.92 - Hodgkin lymphoma, unspecified, intrathoracic lymph nodes  C81.93 - Hodgkin lymphoma, unspecified, intra-abdominal lymph nodes www.outsourcestrategies.com 918-221-7769

10.  C81.94 - Hodgkin lymphoma, unspecified, lymph nodes of axilla and upper limb  C81.95 - Hodgkin lymphoma, unspecified, lymph nodes of inguinal region and lower limb  C81.96 - Hodgkin lymphoma, unspecified, intrapelvic lymph nodes  C81.97 - Hodgkin lymphoma, unspecified, spleen  C81.98 - Hodgkin lymphoma, unspecified, lymph nodes of multiple sites  C81.99 - Hodgkin lymphoma, unspecified, extranodal and solid organ sites The general outlook for HD varies, depending on its stage and type. Generally, this type of cancer is more common in men than women. Therefore, it is important for patients to report any unusual symptoms to their physician immediately.Knowing the highly specific ICD-10 codes related to HD is critical for oncologists. Partnering with an experienced medical billing and coding company is a great option for oncologists to ensure accurate and timely claim submissions. www.outsourcestrategies.com 918-221-7769