C81.4A
C81.4A: Lymphocyte-rich Hodgkin lymphoma, in remission
Billable / specific codeICD-10-CM
C81.4A is a billable, specific ICD-10-CM code for lymphocyte-rich hodgkin lymphoma, in remission. It is valid for submission on a claim.
Check C81.4A with the rest of the claim: free scrubberOther codes that can never be billed with C81.4A
Their own Excludes1 notes name this code, so the conflict is not listed above.
- C26.1Malignant neoplasm of spleen
Risk adjustment
C81.4A 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
C81.4A is named in 24 Medicare coverage policies: 24 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52479Oral Anticancer Drugs - Policy Article
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A55717Billing and Coding: Lab: Flow Cytometry
- A56380Billing and Coding: Rituximab
Code history
- addedFY2024-FY2027
Lymphocyte-rich Hodgkin lymphoma, in remission
Other codes under C81.4
- 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
- C81.46Lymphocyte-rich Hodgkin lymphoma, intrapelvic lymph nodes
- 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