C85.88: Other specified types of non-Hodgkin lymphoma, lymph nodes of multiple sites

Risk adjustment

C85.88 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

C85.88 is named in 57 Medicare coverage policies: 57 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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