Lymphedema ICD-10-CM Codes

What ICD-10 codes are used for lymphedema?

The most accurate ICD-10 Code for Lymphedema that practitioners can use for documentation, diagnosis, coding, and billing is I89.0: Lymphedema, not elsewhere classified. This is used for general lymphedema cases. The location can be anywhere.

The other two ICD-10 codes are:

• Q82.0 - Hereditary lymphedema: This is for lymphedema that a patient has as a result of their genes.
• I97.2 - Postmastectomy lymphedema syndrome: This is for lymphedema that may emerge after getting a mastectomy for breast cancer.

Are these lymphedema ICD codes billable?

Yes, all three ICD-10 codes are billable.

Clinical information

• Lymphedema is when areas or parts of the body swell due to lymphatic obstruction caused by fluid build-up due to damage in the lymphatic system. It emerges if the lymph nodes are unable to filter substances traveling via the lymphatic vessels and lymph fluid.
• Lymphedema is usually caused by cancer or its treatment. Some common causes are a cancerous tumor, surgery to remove the cancer, and radiation to treat the cancer. 
• Symptoms of lymphedema are swelling in a specific part of the body, a tight/tingling sensation of the skin, the affected limb feeling heavy, leathery/thick skin, and accessories or clothes feeling tighter even if you haven't gained weight.
• Varicose veins and vein disorders may emerge alongside it.
• Usually, lymphedema is described by stages, and the severity of the swelling differentiates one stage from another. 
• A practitioner will conduct an interview, measure to compare the affected limb with the unaffected limb, and have the patient undergo lymphoscintigraphy and imaging tests to diagnose lymphedema. 
• Though there is currently no cure for lymphedema, treatments are still being offered to reduce the swelling. Some medicines are compression sleeves/stockings, exercise, massage therapy, weight loss, surgery, and cancer treatment if a malignant tumor is the cause. 

Synonyms Include:

• Bilateral arm or leg lymphedema
• Dedema
• Cholestasis
• Acquired lymphangiectasia
• Dependent lymphedema

Synonyms include

• Bilateral arm or leg lymphedema
• Dedema
• Cholestasis
• Acquired lymphangiectasia
• Dependent lymphedema
• Lymphedema swelling from lymph obstruction and enlarged lymph nodes

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