C85.10
C85.10: Unspecified B-cell lymphoma, unspecified site
Billable / specific codeICD-10-CM
C85.10 is a billable, specific ICD-10-CM code for unspecified b-cell lymphoma, unspecified site. It is valid for submission on a claim.
Check C85.10 with the rest of the claim: free scrubberRisk adjustment
C85.10 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
C85.10 is named in 43 Medicare coverage policies: 43 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
- A54768Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
- A55336Billing and Coding: Retroperitoneal Ultrasound
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under C85.1
- C85.11Unspecified B-cell lymphoma, lymph nodes of head, face, and neck
- C85.12Unspecified B-cell lymphoma, intrathoracic lymph nodes
- C85.13Unspecified B-cell lymphoma, intra-abdominal lymph nodes
- C85.14Unspecified B-cell lymphoma, lymph nodes of axilla and upper limb
- C85.15Unspecified B-cell lymphoma, lymph nodes of inguinal region and lower limb
- C85.16Unspecified B-cell lymphoma, intrapelvic lymph nodes
- C85.17Unspecified B-cell lymphoma, spleen
- C85.18Unspecified B-cell lymphoma, lymph nodes of multiple sites
- C85.19Unspecified B-cell lymphoma, extranodal and solid organ sites
- C85.1AUnspecified B-cell lymphoma, in remission