C84.0A
C84.0A: Mycosis fungoides, in remission
Billable / specific codeICD-10-CM
C84.0A is a billable, specific ICD-10-CM code for mycosis fungoides, in remission. It is valid for submission on a claim.
Check C84.0A with the rest of the claim: free scrubberOther codes that can never be billed with C84.0A
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
C84.0A 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
C84.0A is named in 25 Medicare coverage policies: 25 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
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
Code history
- addedFY2024-FY2027
Mycosis fungoides, in remission
Other codes under C84.0
- 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
- C84.06Mycosis fungoides, intrapelvic lymph nodes
- C84.07Mycosis fungoides, spleen
- C84.08Mycosis fungoides, lymph nodes of multiple sites
- C84.09Mycosis fungoides, extranodal and solid organ sites