C81.11
BillableNodular sclerosis Hodgkin lymphoma, lymph nodes of head, face, and neck
HCC Category Mapping
V28HCC 21 — Breast, Prostate, Colorectal and Other Cancers and Tumors
0.545V24HCC 10 — Lymphoma and Other Cancers
0.675ESRDHCC 10 — Lymphoma and Other Cancers
0.000RxHCCHCC 21 — Hodgkin Lymphoma and Other Cancers
0.000What This Code Means
Nodular sclerosis Hodgkin lymphoma affecting the lymph nodes in the head, face, and neck region.
Coding Tips
- •Verify documentation specifies head, face, and/or neck lymph node involvement
- •This is the most common site for nodular sclerosis Hodgkin lymphoma
Clinical Significance
Nodular sclerosis Hodgkin lymphoma of the head, face, and neck lymph nodes is a very common presentation, as cervical lymphadenopathy is frequently the initial finding in Hodgkin lymphoma. Painless, rubbery lymph node enlargement in the neck is the hallmark presentation. This site-specific code captures one of the most typical presentations and allows for accurate disease mapping in staging.
Documentation Requirements
- ✓Pathology confirming nodular sclerosis Hodgkin lymphoma subtype
- ✓Physical examination documenting cervical, supraclavicular, or other head/neck lymphadenopathy
- ✓Imaging confirming the extent of head/face/neck involvement
- ✓Documentation of B-symptoms
- ✓Ann Arbor staging
- ✓Treatment plan
Commonly Confused Codes
C81.01 — NLPHL, head/face/neck: Different subtype; both can present in the neck but have different pathologyC81.10 — Nodular sclerosis Hodgkin lymphoma, unspecified site: Use C81.11 when head/face/neck is documentedC81.21 — Mixed cellularity Hodgkin lymphoma, head/face/neck: Different subtype at the same anatomic locationC83.31 — Diffuse large B-cell lymphoma, head/face/neck: Non-Hodgkin lymphoma; different entity entirely
Code Hierarchy
└C81Hodgkin lymphoma└C81.1Nodular sclerosis Hodgkin lymphoma└C81.11Nodular sclerosis Hodgkin lymphoma, lymph nodes of head, face, and neck
└C81.11Nodular sclerosis Hodgkin lymphoma, lymph nodes of head, face, and neck