Nodular scler Hodgkin lymph, extrnod and solid organ sites

This code signifies a specific subtype of Hodgkin lymphoma, nodular sclerosis, that has manifested in sites outside of the lymphatic system, such as the bone marrow, liver, or other solid organs. It indicates the presence of malignant Reed-Sternberg cells and characteristic fibrous bands in these extranodal locations.

Apply this code when documentation clearly states a diagnosis of nodular sclerosis Hodgkin lymphoma with involvement of extranodal sites or solid organs. This is appropriate for both primary diagnosis and when extranodal involvement is a significant secondary finding. Supporting documentation includes pathology reports confirming nodular sclerosis subtype and imaging/biopsy reports detailing extranodal or solid organ involvement.

• Ensure the documentation explicitly states "nodular sclerosis" and "extranodal" or "solid organ involvement" to differentiate from other Hodgkin lymphoma subtypes or nodal involvement.
• Do not use this code for Hodgkin lymphoma localized solely to lymph nodes; a different subcategory would apply.
• Always sequence this code as the primary diagnosis when it is the reason for the encounter, or as a secondary diagnosis if it represents a significant co-morbidity.