C88.00 — Waldenstrom macroglobulinemia not having achieved remission
C88.00 is a billable, specific ICD-10-CM code for waldenstrom macroglobulinemia not having achieved remission. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Lymphoplasmacytic lymphoma with IgM-production, NOS
- Lymphoplasmacytic lymphoma with IgM-production not having achieved remission
- Lymphoplasmacytic lymphoma with IgM-production with failed remission
- Macroglobulinemia (idiopathic) (primary) NOS
- Macroglobulinemia (idiopathic) (primary) not having achieved remission
- Macroglobulinemia (idiopathic) (primary) with failed remission
- Waldenström macroglobulinemia NOS
- Waldenström macroglobulinemia with failed remission
Other codes that can never be billed with C88.00
These codes carry an Excludes1 note pointing at C88.00. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading C88.00 alone.
Risk adjustment
C88.00 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
C88.00 is named in 37 Medicare coverage policies — 37 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A52986Billing and Coding: Biomarkers for Oncology
Related codes at this level
Codes that share C88.0. If C88.00 is not quite right, the correct code is usually one of these.
Questions about C88.00
- Is C88.00 a billable ICD-10-CM code?
- Yes. C88.00 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C88.00 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96).