Reader Question:
Check for Site of Sezary Disease
Published on Wed Dec 04, 2013
Question: What is the correct diagnosis code for Sezary’s disease?
Florida Subscriber
Answer: For Sezary’s disease, you have a specific ICD-9-CM range: 202.2x (Sezary’s disease). You should confirm the site involved to determine the correct and required fifth digit. Below are the possible codes from which to choose depending on the site documented:
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202.20, ... Sezary’s disease unspecified site, extranoidal solid organ sites
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202.21, … Sezary’s disease involving lymph nodes of head, face and neck
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202.22, … Sezary’s disease involving intrathoracic lymph nodes
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202.23, … Sezary’s disease involving intra-abdominal lymph nodes
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202.24, … Sezary’s disease involving lymph nodes of axilla and upper limb
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202.25, … Sezary’s disease involving lymph nodes of inguinal region and lower limb
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202.26, … Sezary’s disease involving intrapelvic lymph nodes
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202.27, … Sezary’s disease involving spleen
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202.28, … Sezary’s disease involving lymph nodes of multiple sites
Sezary’s disease is a T cell cutaneous lymphoma (CTCL) accompanied by lymphadenopathy and hepatosplenomegaly. This is a type of non-Hodgkin’s lymphoma.