C81.46
C81.46 — Lymphocyte-rich Hodgkin lymphoma, intrapelvic lymph nodes
Billable / specific codeICD-10-CM
C81.46 is a billable, specific ICD-10-CM code for lymphocyte-rich hodgkin lymphoma, intrapelvic lymph nodes. It is valid for submission on a claim.
Risk adjustment
C81.46 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 21 Lymphoma and Other Cancers0.671 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
C81.46 is named in 51 Medicare coverage policies — 51 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
Related codes at this level
Codes that share C81.4. If C81.46 is not quite right, the correct code is usually one of these.
- C81.40Lymphocyte-rich Hodgkin lymphoma, unspecified site
- C81.41Lymphocyte-rich Hodgkin lymphoma, lymph nodes of head, face, and neck
- C81.42Lymphocyte-rich Hodgkin lymphoma, intrathoracic lymph nodes
- C81.43Lymphocyte-rich Hodgkin lymphoma, intra-abdominal lymph nodes
- C81.44Lymphocyte-rich Hodgkin lymphoma, lymph nodes of axilla and upper limb
- C81.45Lymphocyte-rich Hodgkin lymphoma, lymph nodes of inguinal region and lower limb
- C81.47Lymphocyte-rich Hodgkin lymphoma, spleen
- C81.48Lymphocyte-rich Hodgkin lymphoma, lymph nodes of multiple sites
- C81.49Lymphocyte-rich Hodgkin lymphoma, extranodal and solid organ sites
- C81.4ALymphocyte-rich Hodgkin lymphoma, in remission
Questions about C81.46
- Is C81.46 a billable ICD-10-CM code?
- Yes. C81.46 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C81.46 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96).