2025 ICD-10-CM code I89.8
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of veins, lymphatic vessels and lymph nodes - Other specified noninfective disorders of lymphatic vessels and lymph nodes Diseases of the circulatory system (I00-I99) Feed
Other specified noninfective disorders of lymphatic vessels and lymph nodes, including conditions like chylocele (nonfilarial), chylous ascites, chylous cyst, and lymph node or vessel fistula.
Medical necessity for procedures or treatment related to I89.8 would be based on the symptomatic nature of the condition and its impact on the patient's quality of life.For example, a large chylous cyst causing discomfort or significant functional impairment would warrant medical intervention.Documentation should clearly support the medical necessity for any intervention.
The clinical responsibility for diagnosing and managing conditions coded with I89.8 depends on the specific presentation and underlying etiology.This may involve physicians from various specialties, including surgeons (vascular or general), oncologists, hematologists, and radiologists, depending on the patient's specific condition.
- Diseases of the circulatory system (I00-I99)
- I80-I89: Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified
In simple words: This code is for problems with the lymph vessels and lymph nodes that aren't caused by infection.Examples include leaks of lymph fluid (chylocele, chylous ascites), cysts filled with lymph fluid, and abnormal connections or blockages in the lymph system.
This ICD-10-CM code encompasses various noninfective disorders affecting lymphatic vessels and lymph nodes that are not classified elsewhere.Specific conditions included under this code are chylocele (excluding filarial causes), chylous ascites, chylous cysts, lipomelanotic reticulosis, lymph node or vessel fistulas, lymph node or vessel infarctions, and lymph node or vessel ruptures.It excludes filarial chylocele, hereditary lymphedema, and other conditions specified elsewhere in the ICD-10-CM classification.
Example 1: A 55-year-old male presents with a painless swelling in his neck.Imaging reveals a chylous cyst.The physician documents the finding and codes I89.8., A 60-year-old female with a history of breast cancer develops lymphedema in her arm post-mastectomy.However, imaging reveals a lymph node fistula as a complicating factor, leading to the use of I89.8 as a secondary code in addition to the lymphedema code., A 30-year-old male experiences recurrent episodes of lymphangitis.Following extensive workup, excluding infectious causes, I89.8 is used to document the non-infectious nature of his lymphatic inflammation.
Thorough history and physical examination, relevant imaging studies (ultrasound, CT scan, MRI), and potentially biopsy results to confirm the diagnosis and exclude other conditions.Documentation should clearly specify the nature of the lymphatic abnormality and exclude infectious or other causes listed in the exclusion notes.
** Always cross-reference with other relevant codes to capture the complete clinical picture.Accurate documentation is crucial for proper reimbursement.
- Payment Status: Active
- Specialties:Surgery (Vascular, General), Oncology, Hematology, Radiology
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center