C82.23
BillableFollicular lymphoma grade III, unspecified, intra-abdominal lymph nodes
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 slow-growing blood cancer (follicular lymphoma) that is grade III and located in the lymph nodes inside the abdominal cavity.
Coding Tips
- •Intra-abdominal lymph nodes include mesenteric, retroperitoneal, and other abdominal nodes
- •Imaging studies (CT or PET scan) should document the specific abdominal lymph node involvement
Clinical Significance
Follicular lymphoma grade III unspecified in intra-abdominal lymph nodes indicates high-grade disease in the mesenteric, retroperitoneal, or para-aortic chains. Grade III abdominal disease may present with abdominal pain, early satiety, or bowel symptoms and typically requires treatment rather than observation. This is a more aggressive clinical scenario than low-grade abdominal disease.
Documentation Requirements
- ✓Pathology confirming grade III follicular lymphoma
- ✓Cross-sectional imaging with specific abdominal node measurements
- ✓Assessment for GI complications (obstruction, perforation risk)
- ✓Query for IIIa vs. IIIb specification
- ✓Treatment plan reflecting grade III aggressiveness
Commonly Confused Codes
C82.13 — Grade II, intra-abdominal; lower grade with different management approachC82.33 — Grade IIIa, intra-abdominal; use when pathology specifies centrocytes presentC82.43 — Grade IIIb, intra-abdominal; use for centroblast-only patternC82.26 — Grade III, intrapelvic; distinguish above-pelvis abdominal from pelvic nodes