ICD-10-CM Billable Code

C82.64

Cutaneous follicle center lymphoma, lymph nodes of axilla and upper limb

Clinical Classification Guidelines

Medical Intelligence & Overview

Cutaneous Follicle Center Lymphoma is a type of non-Hodgkin lymphoma that primarily affects the skin, especially in areas like the axilla (armpits) and upper limbs. This condition originates in the lymphoid tissue within the skin and can involve nearby lymph nodes. It is characterized by the uncontrolled growth of malignant lymphocytes, which are a type of white blood cell critical for immune function. Although it is a rare form of lymphoma, understanding its features can help in early recognition and management.

Causes & Symptoms

Clinical Causes: Genetic mutations or alterations in lymphocytes leading to uncontrolled growth History of other immune system conditions or autoimmune diseases Exposure to certain chemicals or environmental toxins (though less common) Infections triggering immune dysregulation (though not directly causative) Age-related changes, as it predominantly affects older adults

Key Symptoms: Presence of painless, enlarging skin nodules or plaques, often seen on the arms or underarms Lesions that may be red, purple, or skin-colored Persistent or recurrent skin rashes or patches Swollen lymph nodes in the axillary and upper limb regions Possible itching or discomfort in affected areas Signs of skin ulceration or breakdown in advanced cases Localized swelling or mass in the lymph nodes of the axilla or upper limbs

Diagnostic & Treatment

Diagnosis Path: Diagnosing cutaneous follicle center lymphoma involves a combination of clinical examination and laboratory tests. A skin biopsy is essential, where a small tissue sample is taken from a lesion and examined microscopically to identify lymphoma cells. Additional tests may include imaging studies such as CT scans to assess the extent of lymph node involvement, and blood tests to evaluate overall health and immune function. Immunophenotyping and molecular studies can help confirm the diagnosis and differentiate it from other skin conditions or lymphomas.

Treatment Protocols: Management of this lymphoma typically requires a multidisciplinary approach. Treatment options include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is C82.64 a billable ICD-10 code?
Yes, C82.64 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report C82.64?
Clinical documentation must specify the nature of Cutaneous follicle center lymphoma, lymph nodes of axilla and upper limb and any associated comorbidities for accurate reporting.

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Clinical Meta Tags

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