C81-C96 — Malignant neoplasms of lymphoid, hematopoietic and related tissue
ICD-10-CM codes C81-C96 cover malignant neoplasms of lymphoid, hematopoietic and related tissue, within neoplasms. The block holds 633 codes across 14 categories, of which 533 are billable and 100 are header codes that cannot be submitted on a claim.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Risk adjustment in C81-C96
0 codes in this block map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded. Under-coding here is money left on the table; over-coding here is what audits are for.
- HCC 21 Lymphoma and Other Cancers
- HCC 20 Lung and Other Severe Cancers
- HCC 19 Myelodysplastic Syndromes, Multiple Myeloma, and Other Cancers
- HCC 17 Cancer Metastatic to Lung, Liver, Brain, and Other Organs; Acute Myeloid Leukemia Except Promyelocytic
- HCC 22 Bladder, Colorectal, and Other Cancers
- HCC 18 Cancer Metastatic to Bone, Other and Unspecified Metastatic Cancer; Acute Leukemia Except Myeloid
What else to watch in C81-C96
- 546 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.
Categories in C81-C96
- C81Hodgkin lymphoma
- C82Follicular lymphoma
- C83Non-follicular lymphoma
- C84Mature T/NK-cell lymphomas
- C85Other specified and unspecified types of non-Hodgkin lymphoma
- C86Other specified types of T/NK-cell lymphoma
- C88Malignant immunoproliferative diseases and certain other B-cell lymphomas
- C90Multiple myeloma and malignant plasma cell neoplasms
- C91Lymphoid leukemia
- C92Myeloid leukemia
- C93Monocytic leukemia
- C94Other leukemias of specified cell type
- C95Leukemia of unspecified cell type
- C96Other and unspecified malignant neoplasms of lymphoid, hematopoietic and related tissue