C81.97

Billable

Hodgkin lymphoma, unspecified, spleen

HCC Category Mapping

V28HCC 21 — Breast, Prostate, Colorectal and Other Cancers and Tumors

0.545

V24HCC 10 — Lymphoma and Other Cancers

0.675

ESRDHCC 10 — Lymphoma and Other Cancers

0.000

RxHCCHCC 21 — Hodgkin Lymphoma and Other Cancers

0.000

What This Code Means

A type of blood cancer called Hodgkin lymphoma that has spread to or originated in the spleen, but the specific subtype is not specified.

Coding Tips

•Verify documentation specifies spleen involvement; if lymph nodes are also involved, consider codes C81.98 or C81.99 instead
•Confirm whether the patient is in remission; if so, use C81.9A instead

Clinical Significance

Hodgkin lymphoma of unspecified type involving the spleen indicates organ involvement that upstages the disease to at least stage III. Splenic involvement may present with splenomegaly, left upper quadrant pain, or be detected incidentally on imaging. The subtype should be determined from pathology to guide treatment intensity, but the splenic involvement alone carries significant staging and prognostic implications.

Documentation Requirements

✓Confirmed Hodgkin lymphoma diagnosis with splenic involvement
✓Imaging or pathologic confirmation of splenic disease beyond simple splenomegaly
✓Stage III or higher designation
✓Plan to determine histologic subtype
✓Active treatment or surveillance documentation

Commonly Confused Codes

C81.93 — Hodgkin lymphoma, unspecified, intra-abdominal: splenic involvement is coded separately from abdominal lymph node disease C81.99 — Hodgkin lymphoma, unspecified, extranodal: use C81.97 specifically for the spleen; C81.99 covers other extranodal organs C81.9A — Hodgkin lymphoma, unspecified, in remission: use when remission is documented instead of the active splenic code

Code Hierarchy

└C81Hodgkin lymphoma └C81.9Hodgkin lymphoma, unspecified └C81.97Hodgkin lymphoma, unspecified, spleen

└C81.97Hodgkin lymphoma, unspecified, spleen