D47.Z2: Castleman disease
D47.Z2 is a billable, specific ICD-10-CM code for castleman disease. It is valid for submission on a claim.
Check D47.Z2 with the rest of the claim: free scrubberExcludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- Kaposi's sarcoma (C46.-)
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- , if applicable, human herpesvirus 8 infection (B10.89)
Risk adjustment
D47.Z2 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
D47.Z2 is named in 13 Medicare coverage policies: 13 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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
- A55336Billing and Coding: Retroperitoneal Ultrasound
- A55717Billing and Coding: Lab: Flow Cytometry
Alphabetic index entries that lead here
- Disease, diseased›Castleman(unicentric) (multicentric)
- Disease, diseased›Castleman›HHV-8-associated
Code history
Unchanged in every release from FY2024 to FY2027.