C85.92
BillableNon-Hodgkin lymphoma, unspecified, intrathoracic 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
Non-Hodgkin lymphoma of unspecified type affecting the lymph nodes inside the chest cavity.
Coding Tips
- •Intrathoracic lymph nodes include mediastinal and hilar nodes; ensure documentation specifies chest involvement
- •Distinguish from lung parenchymal involvement, which would be coded differently
Clinical Significance
Non-Hodgkin lymphoma involving intrathoracic lymph nodes represents a malignancy of the lymphoid system affecting mediastinal and hilar nodes within the chest cavity. This unspecified subtype designation indicates the histologic type has not been further classified, which limits prognostic precision and treatment planning. Intrathoracic involvement may cause compressive symptoms such as superior vena cava syndrome or airway obstruction.
Documentation Requirements
- ✓Documentation must confirm the anatomical site as intrathoracic lymph nodes (mediastinal, hilar, or tracheobronchial).
- ✓The provider should specify the NHL subtype based on pathology findings whenever possible.
- ✓Active treatment status, staging workup results, and current disease status (active, remission, relapse) must be clearly stated.
Commonly Confused Codes
C85.90 (NHL unspecified, unspecified site) lacks the site specificity of C85.C34.x codes for primary lung malignancy should not be used for lymphomatous involvement of intrathoracic nodes. C81.x codes are for Hodgkin lymphoma and should be distinguished based on Reed-Sternberg cell presence. C85.12-C85.82 should be used when the specific NHL subtype is identified.
Code Hierarchy
└C85Other specified and unspecified types of non-Hodgkin lymphoma└C85.9Non-Hodgkin lymphoma, unspecified└C85.92Non-Hodgkin lymphoma, unspecified, intrathoracic lymph nodes
└C85.92Non-Hodgkin lymphoma, unspecified, intrathoracic lymph nodes