C91.52
C91.52 — Adult T-cell lymphoma/leukemia (HTLV-1-associated), in relapse
Billable / specific codeICD-10-CM
C91.52 is a billable, specific ICD-10-CM code for adult t-cell lymphoma/leukemia (htlv-1-associated), in relapse. It is valid for submission on a claim.
Risk adjustment
C91.52 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 19 Myelodysplastic Syndromes, Multiple Myeloma, and Other Cancers1.798 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
C91.52 is named in 36 Medicare coverage policies — 36 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
Related codes at this level
Codes that share C91.5. If C91.52 is not quite right, the correct code is usually one of these.
Questions about C91.52
- Is C91.52 a billable ICD-10-CM code?
- Yes. C91.52 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C91.52 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96).