C91
C91 — Lymphoid leukemia
Non-billable headerICD-10-CM
C91 is a non-billable header ICD-10-CM code for lymphoid leukemia. 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.
- personal history of leukemia (Z85.6)
Other codes that can never be billed with C91
These codes carry an Excludes1 note pointing at C91. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading C91 alone.
Risk adjustment
C91 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 C91
9 child codes. Green means billable.
- C91.0Acute lymphoblastic leukemia [ALL]
- C91.1Chronic lymphocytic leukemia of B-cell type
- C91.3Prolymphocytic leukemia of B-cell type
- C91.4Hairy cell leukemia
- C91.5Adult T-cell lymphoma/leukemia (HTLV-1-associated)
- C91.6Prolymphocytic leukemia of T-cell type
- C91.AMature B-cell leukemia Burkitt-type
- C91.ZOther lymphoid leukemia
- C91.9Lymphoid leukemia, unspecified
Questions about C91
- Is C91 a billable ICD-10-CM code?
- No. C91 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does C91 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 C91?
- C91 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.