C96.4: Sarcoma of dendritic cells (accessory cells)
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.
Check C96.4 with the rest of the claim: free scrubberInclusion 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
Excludes1 inherited from the categories above C96.4
A category’s note binds every code beneath it.
Other codes that can never be billed with C96.4
Their own Excludes1 notes name this code, so the conflict is not listed above.
- C77Secondary and unspecified malignant neoplasm of lymph nodes
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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
C96.4 is named in 30 Medicare coverage policies: 30 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
- 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
Alphabetic index entries that lead here
- Sarcoma›dendritic cells(accessory cells)
- Sarcoma›follicular dendritic cell
- Sarcoma›interdigitating dendritic cell
- Sarcoma›Langerhans cell
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under C96
- C96.0Multifocal and multisystemic (disseminated) Langerhans-cell histiocytosis
- C96.2Malignant mast cell neoplasm
- C96.5Multifocal and unisystemic Langerhans-cell histiocytosis
- C96.6Unifocal Langerhans-cell histiocytosis
- C96.AHistiocytic sarcoma
- C96.ZOther specified malignant neoplasms of lymphoid, hematopoietic and related tissue
- C96.9Malignant neoplasm of lymphoid, hematopoietic and related tissue, unspecified