C81.44
BillableLymphocyte-rich 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 mostly lymphocytes affecting lymph nodes in the armpits and upper arms.
Coding Tips
- •Confirm laterality (left/right) is documented if relevant for treatment planning
- •Distinguish between axillary nodes and upper limb nodes; both are included in this code
Clinical Significance
Lymphocyte-rich Hodgkin lymphoma of axillary and upper limb lymph nodes represents a favorable-prognosis subtype in an accessible peripheral nodal region. Axillary lymphadenopathy may prompt evaluation for breast cancer or reactive conditions before biopsy confirms Hodgkin lymphoma. The lymphocyte-rich subtype generally responds well to treatment with high cure rates.
Documentation Requirements
- ✓Pathology confirming lymphocyte-rich Hodgkin lymphoma histology
- ✓Physical exam or imaging documenting axillary and/or upper limb lymph node involvement
- ✓Laterality documentation when available
- ✓Staging workup excluding additional sites of disease
- ✓Treatment plan and encounter management documentation
Commonly Confused Codes
C81.14 — Nodular sclerosis Hodgkin lymphoma, axilla/upper limb: the most common Hodgkin subtype; requires pathology differentiationC81.34 — Lymphocyte depleted Hodgkin lymphoma, axilla/upper limb: opposite end of the prognostic spectrumC77.3 — Secondary malignant neoplasm of axillary lymph nodes: this code is for metastatic carcinoma, not primary lymphoma
Code Hierarchy
└C81Hodgkin lymphoma└C81.4Lymphocyte-rich Hodgkin lymphoma└C81.44Lymphocyte-rich Hodgkin lymphoma, lymph nodes of axilla and upper limb
└C81.44Lymphocyte-rich Hodgkin lymphoma, lymph nodes of axilla and upper limb