C86
C86 — Other specified types of T/NK-cell lymphoma
Non-billable headerICD-10-CM
C86 is a non-billable header ICD-10-CM code for other specified types of t/nk-cell lymphoma. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Other codes that can never be billed with C86
These codes carry an Excludes1 note pointing at C86. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading C86 alone.
- C77Secondary and unspecified malignant neoplasm of lymph nodes
- C84.7Anaplastic large cell lymphoma, ALK-negative
- C84.ZOther mature T/NK-cell lymphomas
- C85Other specified and unspecified types of non-Hodgkin lymphoma
- D76Other specified diseases with participation of lymphoreticular and reticulohistiocytic tissue
Risk adjustment
C86 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead C86
7 child codes. Green means billable.
- C86.0Extranodal NK/T-cell lymphoma, nasal type
- C86.1Hepatosplenic T-cell lymphoma
- C86.2Enteropathy-type (intestinal) T-cell lymphoma
- C86.3Subcutaneous panniculitis-like T-cell lymphoma
- C86.4Blastic NK-cell lymphoma
- C86.5Angioimmunoblastic T-cell lymphoma
- C86.6Primary cutaneous CD30-positive T-cell proliferations
Questions about C86
- Is C86 a billable ICD-10-CM code?
- No. C86 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does C86 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 C86?
- C86 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.