C82.34
BillableFollicular lymphoma grade IIIa, 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 blood cancer (follicular lymphoma grade IIIa) affecting lymph nodes in the armpits and upper arms. Grade IIIa is a more aggressive form of this cancer.
Coding Tips
- •Confirm axillary and upper limb lymph node involvement is documented in imaging or pathology
- •This site is often detected on physical examination or imaging studies
Clinical Significance
Follicular lymphoma grade IIIa of axillary and upper limb lymph nodes represents a specific high-grade subtype at a commonly involved peripheral site. The IIIa designation (centrocytes present) has treatment implications — some oncologists treat IIIa like indolent lymphoma while others use aggressive chemoimmunotherapy. Axillary disease is readily monitored on physical exam.
Documentation Requirements
- ✓Pathology confirming grade IIIa follicular lymphoma with centrocytes present
- ✓Documentation of axillary/upper limb lymph node involvement
- ✓Laterality
- ✓Ann Arbor staging
- ✓Treatment rationale for chosen approach (indolent vs. aggressive management)
Commonly Confused Codes
Code Hierarchy
└C82Follicular lymphoma└C82.3Follicular lymphoma grade IIIa└C82.34Follicular lymphoma grade IIIa, lymph nodes of axilla and upper limb
└C82.34Follicular lymphoma grade IIIa, lymph nodes of axilla and upper limb