C85.80
C85.80 — Other specified types of non-Hodgkin lymphoma, unspecified site
Billable / specific codeICD-10-CM
C85.80 is a billable, specific ICD-10-CM code for other specified types of non-hodgkin lymphoma, unspecified site. It is valid for submission on a claim.
Risk adjustment
C85.80 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.
Medicare coverage
C85.80 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.
- 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 C85.8. If C85.80 is not quite right, the correct code is usually one of these.
- C85.81Other specified types of non-Hodgkin lymphoma, lymph nodes of head, face, and neck
- C85.82Other specified types of non-Hodgkin lymphoma, intrathoracic lymph nodes
- C85.83Other specified types of non-Hodgkin lymphoma, intra-abdominal lymph nodes
- C85.84Other specified types of non-Hodgkin lymphoma, lymph nodes of axilla and upper limb
- C85.85Other specified types of non-Hodgkin lymphoma, lymph nodes of inguinal region and lower limb
- C85.86Other specified types of non-Hodgkin lymphoma, intrapelvic lymph nodes
- C85.87Other specified types of non-Hodgkin lymphoma, spleen
- C85.88Other specified types of non-Hodgkin lymphoma, lymph nodes of multiple sites
- C85.89Other specified types of non-Hodgkin lymphoma, extranodal and solid organ sites
- C85.8AOther specified types of non-Hodgkin lymphoma, in remission
Questions about C85.80
- Is C85.80 a billable ICD-10-CM code?
- Yes. C85.80 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C85.80 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96).