C81.14
BillableNodular sclerosis Hodgkin lymphoma, lymph nodes of axilla and upper limb
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
A type of Hodgkin lymphoma with nodular sclerosis pattern affecting lymph nodes in the armpits and upper arms.
Coding Tips
- •Character '4' denotes axillary and upper limb lymph node sites; verify laterality if documented
- •Requires seventh character extension for encounter type and remission status
Clinical Significance
Nodular sclerosis Hodgkin lymphoma of axillary and upper limb lymph nodes indicates involvement of the armpit and/or upper extremity lymph nodes. Axillary lymphadenopathy is a common peripheral presentation and may occur alongside cervical or mediastinal disease. This site-specific code allows for accurate mapping of disease distribution, which is critical for Ann Arbor staging and treatment planning.
Documentation Requirements
- ✓Pathology confirming nodular sclerosis subtype
- ✓Physical exam and/or imaging documenting axillary or upper limb lymph node involvement
- ✓Laterality (right, left, or bilateral)
- ✓Assessment for concurrent involvement in other regions
- ✓Ann Arbor staging
- ✓Treatment plan
Commonly Confused Codes
C81.04 — NLPHL, axilla/upper limb: Different subtype at the same locationC81.10 — Nodular sclerosis, unspecified site: Use C81.14 when axillary involvement is documentedC81.18 — Nodular sclerosis, multiple sites: Use if axillary and other distinct regions are involvedC83.34 — Diffuse large B-cell lymphoma, axilla/upper limb: Non-Hodgkin lymphoma
Code Hierarchy
└C81Hodgkin lymphoma└C81.1Nodular sclerosis Hodgkin lymphoma└C81.14Nodular sclerosis Hodgkin lymphoma, lymph nodes of axilla and upper limb
└C81.14Nodular sclerosis Hodgkin lymphoma, lymph nodes of axilla and upper limb