ICD-10-CM Billable Code

C82.86

Other types of follicular lymphoma, intrapelvic lymph nodes

Clinical Classification Guidelines

Medical Intelligence & Overview

Follicular lymphoma is a type of blood cancer that originates in lymphocytes, a kind of white blood cell involved in the immune system. When it develops specifically in the intrapelvic lymph nodes—a group of lymph nodes located within the pelvic region—it is classified under the ICD-10 code C82.86. This form of lymphoma tends to grow slowly and may not cause immediate symptoms, but understanding its characteristics is important for diagnosis and treatment planning.

Causes & Symptoms

Clinical Causes: Genetic mutations within lymphocytes that lead to abnormal growth History of other cancers or lymphomas Weakened immune system due to conditions such as HIV/AIDS or immunosuppressive therapy Exposure to certain chemicals or radiation Age—most common in adults over 60 Family history of lymphomas or other blood cancers

Key Symptoms: Swelling or painless enlargement of lymph nodes in the pelvic area Lower back or abdominal discomfort Unexplained weight loss Persistent fatigue or weakness Fever and night sweats Potential urinary or bowel symptoms if enlarged lymph nodes press on adjacent organs

Diagnostic & Treatment

Diagnosis Path: Physical examination to check for enlarged lymph nodes or other abnormalities Imaging tests such as CT scans, PET scans, or MRI to visualize lymph node involvement Biopsy of affected lymph nodes to examine tissue under a microscope Blood tests to evaluate overall health and detect abnormal cells Bone marrow examination if spread beyond lymph nodes is suspected

Treatment Protocols: Watchful waiting or active surveillance for asymptomatic cases Immunotherapy using monoclonal antibodies to target cancer cells Chemotherapy to destroy rapidly dividing cells Radiation therapy aimed at affected lymph nodes Targeted therapy drugs that interfere with cancer cell growth Stem cell transplantation in advanced or resistant cases

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 C82.86 a billable ICD-10 code?
Yes, C82.86 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report C82.86?
Clinical documentation must specify the nature of Other types of follicular lymphoma, intrapelvic lymph nodes and any associated comorbidities for accurate reporting.

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