C83.86

C83.86: Other non-follicular lymphoma, intrapelvic lymph nodes

Billable / specific codeICD-10-CM

C83.86 is a billable, specific ICD-10-CM code for other non-follicular lymphoma, intrapelvic lymph nodes. It is valid for submission on a claim.

Check C83.86 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above C83.86

A category’s note binds every code beneath it.

Written on C83.8: Other non-follicular lymphoma

mediastinal (thymic) large B-cell lymphoma (C85.2-)
T-cell rich B-cell lymphoma (C83.3-)

Written on C83: Non-follicular lymphoma

personal history of non-Hodgkin lymphoma (Z85.72)

Risk adjustment

C83.86 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

C83.86 is named in 51 Medicare coverage policies: 51 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
A52479Oral Anticancer Drugs - Policy Article
A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
A54768Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy

Code history

Unchanged in every release from FY2024 to FY2027.

Excludes1 inherited from the categories above C83.86

Risk adjustment

Medicare coverage

Code history

Other codes under C83.8