C93.91 — Monocytic leukemia, unspecified in remission

Risk adjustment

C93.91 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.

Medicare coverage

C93.91 is named in 25 Medicare coverage policies — 23 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

• A56462Billing and Coding: Erythropoiesis Stimulating Agents (ESA)not covered
• A60435Billing and Coding: Erythropoiesis Stimulating Agents (ESA)not covered
• A52479Oral Anticancer Drugs - Policy Article
• A52479Oral Anticancer Drugs - Policy Article