C88.21
C88.21: Heavy chain disease, in remission
Billable / specific codeICD-10-CM
C88.21 is a billable, specific ICD-10-CM code for heavy chain disease, in remission. It is valid for submission on a claim.
Check C88.21 with the rest of the claim: free scrubberExcludes1 inherited from the categories above C88.21
A category’s note binds every code beneath it.
Risk adjustment
C88.21 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
C88.21 is named in 25 Medicare coverage policies: 25 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52479Oral Anticancer Drugs - Policy Article
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A55717Billing and Coding: Lab: Flow Cytometry
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
Code history
- addedFY2024-FY2027
Heavy chain disease, in remission