C88.40: Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue [MALT-lymphoma] not having achieved remission
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.
Check C88.40 with the rest of the claim: free scrubberInclusion 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
C88.40 is named in 49 Medicare coverage policies: 49 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
- A54768Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
- A55717Billing and Coding: Lab: Flow Cytometry
Code history
- addedFY2024-FY2027
Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue [MALT-lymphoma] not having achieved remission