C82.67
Cutaneous follicle center lymphoma, spleen
Clinical Classification Guidelines
Medical Intelligence & Overview
Cutaneous follicle center lymphoma (CFCL) is a type of non-Hodgkin lymphoma that primarily affects skin areas and sometimes involves lymphoid organs like the spleen. The subtype denoted by the ICD-10 code C82.67 indicates that this lymphoma is localized to the skin and involves the spleen. This rare lymphoma originates from follicle center B-cells, which are part of the immune system's functioning. When it manifests in the skin and spleen, it presents unique diagnostic and treatment considerations, typically requiring specialized medical care.
Causes & Symptoms
Clinical Causes: Genetic mutations within B-cells leading to uncontrolled growth Environmental exposures, though specific triggers are not well understood Immune system dysfunction, which may impair the body's ability to detect and destroy abnormal cells Possible prior infections or immune-related conditions that could contribute to lymphocyte alterations
Key Symptoms: Skin lesions: painless, slowly enlarging nodules or plaques on the skin Swelling or enlargement of the spleen (splenomegaly), which may cause discomfort or a feeling of fullness in the abdomen General symptoms such as fatigue, malaise, or unexplained weight loss in some cases Localized skin changes, possibly with redness or discoloration No or minimal systemic symptoms in early stages
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a combination of clinical examination, histopathological analysis, and imaging studies. Skin biopsies are performed to examine the cellular characteristics of the lesion, confirming the presence of follicle center B-cells. Imaging studies like CT scans or ultrasounds are used to evaluate spleen involvement. Blood tests may also be conducted to assess overall health and rule out other conditions. In certain cases, bone marrow biopsies help determine the extent of the disease.
Treatment Protocols: Treatment strategies depend on the stage and spread of the lymphoma. Options include:
Clinical Advice & FAQs
Billing Guidance
Is C82.67 a billable ICD-10 code?
Yes, C82.67 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report C82.67?
Clinical documentation must specify the nature of Cutaneous follicle center lymphoma, spleen and any associated comorbidities for accurate reporting.
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