C84.43 — Peripheral T-cell lymphoma, not elsewhere classified, intra-abdominal lymph nodes
C84.43 is a billable, specific ICD-10-CM code for peripheral t-cell lymphoma, not elsewhere classified, intra-abdominal lymph nodes. It is valid for submission on a claim.
Excludes1 inherited from the categories above C84.43
These are not written on C84.43, but they bind it: a note on a category applies to every code beneath it. Billing C84.43 with anything listed here is a denial.
Other codes that can never be billed with C84.43
These codes carry an Excludes1 note pointing at C84.43. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading C84.43 alone.
Risk adjustment
C84.43 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 19 Myelodysplastic Syndromes, Multiple Myeloma, and Other Cancers1.798 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
C84.43 is named in 56 Medicare coverage policies — 56 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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- A52479Oral Anticancer Drugs - Policy Article
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Code history
C84.43 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share C84.4. If C84.43 is not quite right, the correct code is usually one of these.
- C84.40Peripheral T-cell lymphoma, not elsewhere classified, unspecified site
- C84.41Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of head, face, and neck
- C84.42Peripheral T-cell lymphoma, not elsewhere classified, intrathoracic lymph nodes
- C84.44Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of axilla and upper limb
- C84.45Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of inguinal region and lower limb
- C84.46Peripheral T-cell lymphoma, not elsewhere classified, intrapelvic lymph nodes
- C84.47Peripheral T-cell lymphoma, not elsewhere classified, spleen
- C84.48Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of multiple sites
- C84.49Peripheral T-cell lymphoma, not elsewhere classified, extranodal and solid organ sites
- C84.4APeripheral T-cell lymphoma, not elsewhere classified, in remission
Questions about C84.43
- Is C84.43 a billable ICD-10-CM code?
- Yes. C84.43 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C84.43 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96).
- What cannot be coded together with C84.43?
- C84.43 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above C84.43 (C84) and apply to it just the same.