ICD-10-CM Billable Code

C85.87

Other specified types of non-Hodgkin lymphoma, spleen

Clinical Classification Guidelines

Medical Intelligence & Overview

Non-Hodgkin lymphoma (NHL) encompasses a diverse group of blood cancers that originate in the lymphatic system, specifically affecting lymphocytes, a type of white blood cell. When this particular type involves the spleen and is categorized under ICD-10 code C85.87, it signifies a specific subset of NHL that presents with unique characteristics. Such lymphomas can vary in their progression and treatment options, making accurate diagnosis and understanding essential for management.

Causes & Symptoms

Clinical Causes: Genetic mutations that lead to abnormal lymphocyte growth Immunodeficiency conditions, such as HIV/AIDS Exposure to certain chemicals or pesticides Previous history of other cancers or blood disorders Age-related immune system changes

Key Symptoms: Enlarged spleen (splenomegaly), which may cause a feeling of fullness or discomfort in the abdomen Unintentional weight loss Night sweats Persistent fatigue Frequent infections due to weakened immunity Fever that persists without apparent cause B symptoms such as chills or unexplained appetite loss

Diagnostic & Treatment

Diagnosis Path: Physical examination focusing on abdominal swelling or tenderness Imaging studies such as ultrasound, CT scan, or MRI to assess spleen size and spread Blood tests to evaluate blood cell counts and overall health Lymph node or spleen biopsy to examine tissue samples microscopically Bone marrow biopsy to determine if the disease has spread Immunophenotyping and molecular studies to identify specific lymphoma subtypes

Treatment Protocols: Chemotherapy to target rapidly dividing cancer cells Targeted therapy using drugs designed to attack specific cancer cell markers Immunotherapy to stimulate the body's immune response against lymphoma cells Radiation therapy in select cases to eliminate localized disease Splenectomy, or removal of the spleen, may be considered in certain scenarios Supportive care to manage symptoms, infections, and side effects of treatment

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 C85.87 a billable ICD-10 code?
Yes, C85.87 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report C85.87?
Clinical documentation must specify the nature of Other specified types of non-Hodgkin lymphoma, spleen and any associated comorbidities for accurate reporting.

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