C91.A1

C91.A1: Mature B-cell leukemia Burkitt-type, in remission

Billable / specific codeICD-10-CM

C91.A1 is a billable, specific ICD-10-CM code for mature b-cell leukemia burkitt-type, in remission. It is valid for submission on a claim.

Check C91.A1 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above C91.A1

A category’s note binds every code beneath it.

Written on C91.A: Mature B-cell leukemia Burkitt-type

Burkitt lymphoma (C83.7-)

Written on C91: Lymphoid leukemia

personal history of leukemia (Z85.6)

Other codes that can never be billed with C91.A1

Their own Excludes1 notes name this code, so the conflict is not listed above.

D72.825Bandemia

Risk adjustment

C91.A1 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 20 Lung and Other Severe Cancers1.136 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

C91.A1 is named in 23 Medicare coverage policies: 23 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

Unchanged in every release from FY2024 to FY2027.