Is C96.4 a billable ICD-10-CM code?

Yes. C96.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does C96.4 sit in the tabular list?

Neoplasms (C00-D49), in the block Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96).

C96.4

C96.4 — Sarcoma of dendritic cells (accessory cells)

Billable / specific codeICD-10-CM

C96.4 is a billable, specific ICD-10-CM code for sarcoma of dendritic cells (accessory cells). It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Follicular dendritic cell sarcoma
Interdigitating dendritic cell sarcoma
Langerhans cell sarcoma

Risk adjustment

C96.4 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 21 Lymphoma and Other Cancers0.671 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

C96.4 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.

A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
A52479Oral Anticancer Drugs - Policy Article
A52479Oral Anticancer Drugs - Policy Article
A52479Oral Anticancer Drugs - Policy Article

How C96.4 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to C96.4.

Sarcoma›dendritic cells(accessory cells)
Sarcoma›follicular dendritic cell
Sarcoma›interdigitating dendritic cell
Sarcoma›Langerhans cell

Related codes at this level

Codes that share C96. If C96.4 is not quite right, the correct code is usually one of these.

Questions about C96.4

Is C96.4 a billable ICD-10-CM code?: Yes. C96.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does C96.4 sit in the tabular list?: Neoplasms (C00-D49), in the block Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96).