C84.43
C84.43 — Peripheral T-cell lymphoma, not elsewhere classified, intra-abdominal lymph nodes
Billable / specific codeICD-10-CM
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.
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 46 Medicare coverage policies — 46 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
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).