C81.1A
BillableNodular sclerosis Hodgkin lymphoma, in remission
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 that is currently in remission (no active disease).
Coding Tips
- •Character 'A' specifically indicates remission status; use only when clinical documentation confirms remission
- •This code does not require an additional seventh character as the remission status is already specified
Clinical Significance
Nodular sclerosis Hodgkin lymphoma in remission indicates that the most common subtype of Hodgkin lymphoma shows no evidence of active disease following treatment. Nodular sclerosis Hodgkin lymphoma has high cure rates (80-90%), and remission is typically assessed with end-of-treatment PET/CT. However, relapse remains possible, particularly in the first 2-5 years, necessitating ongoing surveillance with periodic imaging and clinical assessment.
Documentation Requirements
- ✓Physician documentation explicitly stating remission
- ✓End-of-treatment PET/CT showing complete metabolic response (Deauville score 1-3)
- ✓Date remission was achieved
- ✓Complete versus partial remission status
- ✓Surveillance schedule (typically imaging every 6-12 months for 2-5 years)
- ✓Assessment for late effects of treatment (cardiotoxicity, secondary malignancies, pulmonary fibrosis)
Commonly Confused Codes
C81.10-C81.19 — Active nodular sclerosis by site: Use these for active disease; C81.1A is for remissionZ85.71 — Personal history of Hodgkin lymphoma: Use Z85 codes only after cancer is considered cured and surveillance has endedC81.0A — NLPHL in remission: Different subtype in remissionC81.4A — Lymphocyte-rich Hodgkin lymphoma in remission: Different subtype in remission