icd 10 code for bulky stage ii small lymphocytic lymphoma

by Gerda Price DVM 5 min read

Full Answer

What is the ICD 10 code for small cell B-cell lymphoma?

Small cell B-cell lymphoma. C83.0 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2019 edition of ICD-10-CM C83.0 became effective on October 1, 2018. This is the American ICD-10-CM version of C83.0 - other international versions of ICD-10 C83.0 may differ.

What is the ICD 10 for chronic lymphocytic leukemia (CLL)?

Chronic lymphocytic leukemia of B-cell type. The 2018/2019 edition of ICD-10-CM C91.1 became effective on October 1, 2018. This is the American ICD-10-CM version of C91.1 - other international versions of ICD-10 C91.1 may differ.

What is the ICD 10 code for lymphocytosis?

Lymphocytosis (symptomatic) 2016 2017 2018 2019 Billable/Specific Code. D72.820 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM D72.820 became effective on October 1, 2018.

What is the new ICD 10 for B-CLL?

The 2020 edition of ICD-10-CM C83.0 became effective on October 1, 2019. This is the American ICD-10-CM version of C83.0 - other international versions of ICD-10 C83.0 may differ. Applicable To. Lymphoplasmacytic lymphoma. Nodal marginal zone lymphoma. Non-leukemic variant of B-CLL. Splenic marginal zone lymphoma.

What is the ICD 10 code for small lymphocytic lymphoma?

Code 9823/3 is used for CLL, SLL, and CLL/SLL.

What is small cell lymphocytic lymphoma?

SLL is an indolent (slow growing) non-Hodgkin lymphoma that affects B cells. B cells (also known as B lymphocytes) are specialised white blood cells. Under normal conditions they produce immunoglobulins (also called antibodies) that help protect our bodies against infection and disease.

What is Stage 2 chronic lymphocytic leukemia?

Stage II. In stage II chronic lymphocytic leukemia, there are too many lymphocytes in the blood, the liver or spleen is larger than normal, and the lymph nodes may be larger than normal.

Is lymphoma same as CLL?

Chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL) are the same disease, but in CLL cancer cells are found mostly in the blood and bone marrow. In SLL cancer cells are found mostly in the lymph nodes. Chronic lymphocytic leukemia/small lymphocytic lymphoma is a type of non-Hodgkin lymphoma.

What is a diagnosis of SLL?

SLL is usually diagnosed by taking a sample of cells from a swollen lymph node to look at under a microscope. This is called a lymph node biopsy. A doctor either uses a hollow needle to remove a 'core' of tissue from a lymph node (a 'needle core biopsy'), or removes the whole node.

Is small B cell lymphoma Hodgkin's or non Hodgkin's?

B-cell lymphoma is a type of non-Hodgkin lymphoma that originates in the B-cells. It is the most common type of lymphoma and about 85% of all lymphomas in the United States are B-cell.

What does Stage 2 leukemia mean?

Stages of Chronic Leukemia Stage 2 – A patient has high levels of white blood cells and is anemic. He or she may also have enlarged lymph nodes. Stage 3 – A patient has high levels of white blood cells and is anemic. He or she may also have enlarged lymph nodes and/or an enlarged liver or spleen.

How serious is Stage 2 leukemia?

Stage II. Your spleen or liver is larger than normal. Your lymph nodes might be swollen, too, but not necessarily. This is also an intermediate risk stage, and you'll start treatment if your doctor thinks your symptoms or lymphocyte count are serious.

What is the ICD 10 code for CLL?

Chronic lymphocytic leukemia of B-cell type not having achieved remission. C91. 10 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM C91.

What is lymphocytic lymphoma?

Small lymphocytic lymphoma (SLL) is a cancer that affects a type of white blood cell called a "lymphocyte," which helps your body fight infection. You may hear your doctor refer to SLL as a "non-Hodgkin's lymphoma," which is a group of cancers that affect lymphocytes.

What are the 3 main types of lymphoma?

There are 3 main types of marginal zone lymphomas:Extranodal marginal zone B-cell lymphoma, also known as mucosa-associated lymphoid tissue (MALT) lymphoma: This is the most common type of marginal zone lymphoma. ... Nodal marginal zone B-cell lymphoma: This is a rare disease.More items...•

What are the four stages of CLL?

What are the stages of CLL?Stage 0. The blood has too many white blood cells called lymphocytes. This is called lymphocytosis. ... Stage I. The blood has too many lymphocytes. ... Stage II. The blood has too many lymphocytes. ... Stage III. The blood has too many lymphocytes. ... Stage IV. The blood has too many lymphocytes.

What is the survival rate of small lymphocytic lymphoma?

Small Lymphocytic Lymphoma Survival Rates The five-year survival rate for SLL in the United States is 86.9 percent. This means that, for every 100 people diagnosed with SLL now, about 87 people are expected to be alive in five years. This survival rate also applies to people with CLL.

Is small lymphocytic lymphoma fatal?

SLL is typically a slow-growing cancer. Many people live for years without needing any treatment.

Can you live 20 years with SLL?

When you have SLL, your body will start to produce immature, cancerous B-cells in the lymph nodes. Small lymphocytic lymphoma isn't curable, but people with the disease can live well for many years if it is properly managed, and do so with better long-term outcomes than other types of blood cancers.

How serious is SLL?

SLL tends to be a slow-growing cancer. In time, though, SLL can turn into a more aggressive type of lymphoma. After initial treatment for SLL, many people have a period of remission, when there are no signs of active disease. The illness may not return.

What is the code for a primary malignant neoplasm?

A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere.

What chapter is neoplasms classified in?

All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm. Morphology [Histology] Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, ...

What is the term for cancer of the white blood cells?

Chronic leukemia characterized by morphologically mature but immunologically less mature lymphocytes; manifested by an abnormal accumulation of these cells in blood, bone marrow, and lymphatic tissue. leukemia is cancer of the white blood cells. White blood cells help your body fight infection.

What is a type 1 exclude note?

A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as C91.1. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

Is lymphocytic leukemia hard on the blood?

These cells crowd out the healthy blood cells, making it hard for blood to do its work. In chronic lymphocytic leukemia ( cll), there are too many lymphocytes, a type of white blood cell.cll is the second most common type of leukemia in adults.

Is lymphoma a clonal disease?

Molecular genetic studies suggest that in approximately half of the cases, the lymphoma is clonally related to the underlying chronic lymphocytic leukemia, whereas in the remaining cases the lymphoma probably represents a secondary, unrelated neoplasm. Code History.

Which CLL mutations do not show conversion during disease course?

2 types of CLL that do not show conversion during disease course: CLL-UM (unmutated): few mutations in the IGH gene (≥ 98% homology with germline sequence), associated with more proliferation, more aggressive disease course. CLL-MUT (mutated): many mutations in the IGH gene (< 98% homology), associated with less proliferation, better prognosis.

Does prolymphocytic transformation occur?

Prolymphocytic transformation: ratio of prolymphocytic cells in peripheral blood increases (< 55%), transformation into B cell prolymphocytic leukemia does not occur, by definition.

Abstractor Notes

Code 9823/3 is used for CLL, SLL, and CLL/SLL. CLL and SLL are no longer coded separately because it is almost impossible to differentiate between the two diseases. See the hematopoietic PH rules for information on coding primary site for CLL/SLL.

Diagnostic Confirmation

This histology can be determined by positive histology (including peripheral blood) with or without genetics and/or immunophenotyping. Review the Definitive Diagnostic Methods, Immunophenotyping and Genetics Data sections below, and the instructions in the Hematopoietic Manual for further guidance on assigning Diagnostic confirmation.

Definition

Chronic lymphocytic leukemia /small lymphocytic lymphoma (CLL/SLL) is a neoplasm composed of monomorphic small mature B cell s that coexpress CD5 and CD23. There must be a monoclonal B-cell count greater than or equal to 5 x 10 (to the ninth (9th))/L, with the characteristic morphology and phenotype of CLL, in the peripheral blood.

Sources

International Classification of Diseases for Oncology, Third Edition, Second Revision. Geneva: World Health Organization, 2020.