C81.4A
BillableLymphocyte-rich 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
Lymphocyte-rich Hodgkin lymphoma that is currently in remission (no active disease).
Coding Tips
- •Use only when documentation explicitly states remission status
- •Do not use if patient has residual disease or is in partial remission; clarify with provider if needed
Clinical Significance
Lymphocyte-rich Hodgkin lymphoma in remission reflects the excellent treatment response rates characteristic of this favorable subtype. Most patients with lymphocyte-rich histology achieve complete remission, but ongoing surveillance is still required to detect late relapses. This code captures the continued healthcare resource utilization during the surveillance phase and preserves appropriate risk adjustment.
Documentation Requirements
- ✓Explicit provider documentation of remission (complete or partial)
- ✓Supporting imaging (PET/CT) demonstrating no active disease
- ✓History of pathologically confirmed lymphocyte-rich Hodgkin lymphoma
- ✓Surveillance plan with scheduled follow-up imaging and labs
- ✓Encounter documentation confirming continued remission status
Commonly Confused Codes
C81.40-C81.49 — Active lymphocyte-rich Hodgkin lymphoma codes: use these when disease is still active; transition to C81.4A upon documented remissionZ85.71 — Personal history of Hodgkin lymphoma: use Z85.71 only when the patient is discharged from active oncologic surveillance; C81.4A is appropriate during the monitoring periodC81.2A — Mixed cellularity Hodgkin lymphoma, in remission: ensure the correct subtype is coded
Code Hierarchy
└C81Hodgkin lymphoma└C81.4Lymphocyte-rich Hodgkin lymphoma└C81.4ALymphocyte-rich Hodgkin lymphoma, in remission
└C81.4ALymphocyte-rich Hodgkin lymphoma, in remission