C82.67

HCC Category Mapping

What This Code Means

A type of lymphoma (blood cancer) that starts in the skin and affects the spleen, characterized by abnormal growth of follicle center cells.

Coding Tips

• •Verify documentation specifies cutaneous (skin) involvement and spleen location before assigning this code
• •Check for remission status - if patient is in remission, use C82.6A instead

Clinical Significance

Cutaneous follicle center lymphoma involving the spleen is a very unusual presentation that should strongly prompt reconsideration of the primary cutaneous diagnosis. Splenic involvement implies disseminated disease that is more consistent with systemic follicular lymphoma. If the primary cutaneous designation is maintained, comprehensive staging and pathologic review should document why the cutaneous classification remains appropriate despite this unusual spread pattern.

Documentation Requirements

• ✓Original skin biopsy confirming cutaneous follicle center lymphoma
• ✓Imaging documenting splenic involvement (splenomegaly, focal lesions)
• ✓Clinical rationale for maintaining cutaneous primary classification despite splenic disease
• ✓Pathology review confirming diagnosis concordance
• ✓Complete staging evaluation
• ✓Hematologic assessment for cytopenias related to splenic disease

Commonly Confused Codes