ICD-10-CM Billable Code

C83.96

Non-follicular (diffuse) lymphoma, unspecified, intrapelvic lymph nodes

Clinical Classification Guidelines

Medical Intelligence & Overview

Non-follicular diffuse lymphoma, classified under ICD-10 code C83.96, is a type of lymphoma that originates in the lymphatic system, specifically affecting the intrapelvic lymph nodes. Unlike follicular lymphomas, which have a specific pattern of cell growth, non-follicular diffuse lymphomas involve a rapid, widespread infiltration of abnormal lymphocytes, leading to a more aggressive disease course. This form of lymphoma can affect individuals of various ages and is considered a subtype of non-Hodgkin lymphoma, requiring specific diagnostic and treatment approaches.

Causes & Symptoms

Clinical Causes: Genetic mutations in lymphocytes that lead to malignant transformation. Environmental factors such as exposure to certain chemicals or radiation. Immune system suppression due to medical conditions or medications. Infections associated with lymphoid tissue, though less common. A family history of lymphoma or other blood cancers.

Key Symptoms: Swelling or painless enlargement of the lymph nodes in the pelvic region. Unexplained weight loss over a short period. Persistent fever without an apparent infection. Night sweats that soak clothing or bedding. Fatigue and general malaise. Abdominal discomfort or a feeling of fullness, especially if enlarged lymph nodes press on surrounding organs. Itching or skin changes, although less typical.

Diagnostic & Treatment

Diagnosis Path: Physical examination focusing on lymph node regions, especially the pelvis. Imaging studies such as CT scans, PET scans, or MRI to assess the extent and location of lymph node involvement. Lymph node biopsy to confirm the type of lymphoma by examining tissue under a microscope. Immunophenotyping through blood tests to identify specific cell markers characteristic of non-follicular lymphomas. Additional laboratory tests may include blood counts, bone marrow biopsies, and molecular studies to understand the genetic profile of the lymphoma.

Treatment Protocols: Chemotherapy regimens aimed at destroying malignant lymphocytes, often including drugs like CHOP (cyclophosphamide, doxorubicin, vincristine, prednisone). Targeted therapies such as monoclonal antibodies (e.g., Rituximab) that specifically attack cancer cells. Radiation therapy may be used to target localized disease in the pelvic area. Stem cell transplantation in selected cases to restore healthy blood cell production after aggressive treatment. Supportive care, including transfusions, infection prevention, and symptom management, to improve quality of life.

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 C83.96 a billable ICD-10 code?
Yes, C83.96 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report C83.96?
Clinical documentation must specify the nature of Non-follicular (diffuse) lymphoma, unspecified, intrapelvic lymph nodes and any associated comorbidities for accurate reporting.

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