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Home/Diagnosis/ICD-10 Coding for Swollen Lymph Nodes

ICD-10 Coding for Swollen Lymph Nodes

R59.0
R59.1
R59.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for swollen lymph nodes includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Lymphadenopathy
Enlarged Lymph Nodes
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Key Information: ICD-10 Coding for Swollen Lymph Nodes

Essential facts and insights about ICD-10 Coding for Swollen Lymph Nodes

Use ICD-10 code R59.0 for localized enlarged lymph nodes, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Localized enlarged lymph nodes

Billable Code
R59.0
Billable

Diagnostic Criteria

clinical:
  • • Node size >1 cm and localized to one region
documentation:
  • • Documentation specifies location and characteristics

Applicable To

  • • Localized lymphadenopathy

Important Notes

  • • Ensure documentation specifies the location and characteristics of the lymph nodes.

Generalized enlarged lymph nodes

Billable Code
R59.1
Billable

Diagnostic Criteria

clinical:
  • • Nodes in multiple non-contiguous regions
  • • Associated symptoms like fever or night sweats

Applicable To

  • • Generalized lymphadenopathy

Important Notes

  • • Document all regions involved and any systemic symptoms.

Enlarged lymph nodes, unspecified

Billable Code
R59.9
Billable

Diagnostic Criteria

clinical:
  • • Lack of specific localization or characteristics in documentation

Applicable To

  • • Unspecified lymphadenopathy

Important Notes

  • • Avoid using unless absolutely necessary due to lack of specificity.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z01.89

Encounter for other specified special examinations

Use for encounters where lymphadenopathy is examined but not the primary focus.

B20

HIV disease

Use when generalized lymphadenopathy is due to HIV.

Frequently Asked Questions

What is the ICD-10 code for swollen lymph nodes?

The ICD-10 code for swollen lymph nodes varies: R59.0 for localized, R59.1 for generalized, and R59.9 for unspecified lymphadenopathy.

When should R59.0 be used?

Use R59.0 for localized lymphadenopathy when the lymph nodes are enlarged in a single region and the cause is unknown.

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