Is C88.40 a billable ICD-10-CM code?

Yes. C88.40 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does C88.40 sit in the tabular list?

Neoplasms (C00-D49), in the block Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96).

C88.40

C88.40 — Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue [MALT-lymphoma] not having achieved remission

Billable / specific codeICD-10-CM

C88.40 is a billable, specific ICD-10-CM code for extranodal marginal zone b-cell lymphoma of mucosa-associated lymphoid tissue [malt-lymphoma] 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.

Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue [MALT-lymphoma] NOS
Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue [MALT-lymphoma] with failed remission
Lymphoma of bronchial-associated lymphoid tissue [BALT-lymphoma] NOS
Lymphoma of bronchial-associated lymphoid tissue [BALT-lymphoma] not having achieved remission
Lymphoma of bronchial-associated lymphoid tissue [BALT-lymphoma] with failed remission
Lymphoma of skin-associated lymphoid tissue [SALT-lymphoma] NOS
Lymphoma of skin-associated lymphoid tissue [SALT-lymphoma] not having achieved remission
Lymphoma of skin-associated lymphoid tissue [SALT-lymphoma] with failed remission

Risk adjustment

C88.40 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

C88.40 is named in 48 Medicare coverage policies — 48 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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A52479Oral Anticancer Drugs - Policy Article
A52479Oral Anticancer Drugs - Policy Article
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Related codes at this level

Codes that share C88.4. If C88.40 is not quite right, the correct code is usually one of these.

C88.41Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue [MALT-lymphoma], in remission

Questions about C88.40

Is C88.40 a billable ICD-10-CM code?: Yes. C88.40 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does C88.40 sit in the tabular list?: Neoplasms (C00-D49), in the block Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96).