C91.1 — Chronic lymphocytic leukemia of B-cell type
C91.1 is a non-billable header ICD-10-CM code for chronic lymphocytic leukemia of b-cell type. 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.
- lymphoplasmacytic lymphoma (C83.0-)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Lymphoplasmacytic leukemia
- Richter syndrome
Other codes that can never be billed with C91.1
These codes carry an Excludes1 note pointing at C91.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading C91.1 alone.
Risk adjustment
C91.1 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 C91.1
3 child codes. Green means billable.
Related codes at this level
Codes that share C91. If C91.1 is not quite right, the correct code is usually one of these.
- C91.0Acute lymphoblastic leukemia [ALL]
- 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 C91.1
- Is C91.1 a billable ICD-10-CM code?
- No. C91.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does C91.1 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 C91.1?
- C91.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.