C84.06
C84.06 — Mycosis fungoides, intrapelvic lymph nodes
Billable / specific codeICD-10-CM
C84.06 is a billable, specific ICD-10-CM code for mycosis fungoides, intrapelvic lymph nodes. It is valid for submission on a claim.
Risk adjustment
C84.06 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 20 Lung and Other Severe Cancers1.136 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
C84.06 is named in 44 Medicare coverage policies — 44 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 C84.0. If C84.06 is not quite right, the correct code is usually one of these.
- C84.00Mycosis fungoides, unspecified site
- C84.01Mycosis fungoides, lymph nodes of head, face, and neck
- C84.02Mycosis fungoides, intrathoracic lymph nodes
- C84.03Mycosis fungoides, intra-abdominal lymph nodes
- C84.04Mycosis fungoides, lymph nodes of axilla and upper limb
- C84.05Mycosis fungoides, lymph nodes of inguinal region and lower limb
- C84.07Mycosis fungoides, spleen
- C84.08Mycosis fungoides, lymph nodes of multiple sites
- C84.09Mycosis fungoides, extranodal and solid organ sites
- C84.0AMycosis fungoides, in remission
Questions about C84.06
- Is C84.06 a billable ICD-10-CM code?
- Yes. C84.06 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C84.06 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96).