Is C92 a billable ICD-10-CM code?

No. C92 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does C92 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 C92?

C92 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

C92

C92 — Myeloid leukemia

Non-billable headerICD-10-CM

C92 is a non-billable header ICD-10-CM code for myeloid 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)

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

, if applicable, pancytopenia (acquired) (D61.818)

Includes

Conditions this code covers.

granulocytic leukemia
myelogenous leukemia

Other codes that can never be billed with C92

These codes carry an Excludes1 note pointing at C92. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading C92 alone.

D72.825Bandemia
D64Other anemias
C92.0Acute myeloblastic leukemia
C92.1Chronic myeloid leukemia, BCR/ABL-positive
D47.1Chronic myeloproliferative disease

Risk adjustment

C92 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 C92

10 child codes. Green means billable.

Questions about C92

Is C92 a billable ICD-10-CM code?: No. C92 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does C92 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 C92?: C92 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.