Lymphocy deplet Hodgkin lymph, extrnod and solid organ sites

This code signifies a rare and aggressive subtype of Hodgkin lymphoma characterized by a paucity of lymphocytes and a predominance of Reed-Sternberg cells and their variants. It specifically indicates that the disease has spread beyond the lymph nodes to other organs or tissues.

Apply this code when documentation confirms a diagnosis of lymphocyte-depleted Hodgkin lymphoma affecting extranodal sites such as the bone marrow, liver, lung, or gastrointestinal tract. Pathological reports confirming the specific subtype and imaging studies or biopsies indicating extranodal involvement are essential for its use.

• Ensure the pathology report explicitly states "lymphocyte depleted" and identifies extranodal involvement.
• Do not confuse with other Hodgkin lymphoma subtypes, especially if extranodal involvement is present but the specific subtype is not lymphocyte depleted.
• Sequence this code as the primary diagnosis when it is the reason for the encounter, followed by codes for specific extranodal sites if further detail is required and documented.