Nodlr lymphocy predom Hdgkn lymph, extrnod & solid org site

This code signifies a specific type of Hodgkin lymphoma, characterized by a nodular growth pattern and a predominance of lymphocytes, that has spread beyond the lymph nodes to involve other organs or tissues. It indicates that the disease is present in sites such as the bone marrow, liver, lung, or other non-lymphatic structures.

Use this code when documentation clearly states a diagnosis of nodular lymphocyte predominant Hodgkin lymphoma (NLPHL) and specifies involvement of extranodal or solid organ sites. This applies to both initial diagnoses and subsequent encounters where extranodal involvement is confirmed. Supporting documentation includes pathology reports, imaging studies, and physician notes detailing the extent of the disease.

• Ensure the pathology report explicitly confirms "nodular lymphocyte predominant" Hodgkin lymphoma, not classical Hodgkin lymphoma.
• Verify that the documentation specifies involvement of an extranodal or solid organ site; otherwise, a nodal site code may be more appropriate.
• Sequence this code as the primary diagnosis when the NLPHL is the reason for the encounter, followed by codes for specific extranodal sites if applicable.