Other specified types of T/NK-cell lymphoma
In Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96), chapter 2: Neoplasms
14 billable codes under C86: all are a CC; all map to HCC 20 (Lung and Other Severe Cancers), HCC 19 (Myelodysplastic Syndromes, Multiple Myeloma, and Other Cancers).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Also applies, from Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96)
These notes sit on C81-C96 and apply to every code under it, including C86.
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Rules for coding benign and malignant neoplasms: using the Neoplasm Table, sequencing primary and secondary sites, treatment encounters, complications, and current cancer versus personal history.
- Admission/Encounter for treatment of primary site (page 33)
- Admission/Encounter for treatment of secondary site (page 33)
- Coding and sequencing of complications (page 34)
- Primary malignancy previously excised (page 34)
- Admissions/Encounters involving antineoplastic chemotherapy, immunotherapy and radiation therapy (page 35)
- Admission/encounter to determine extent of malignancy (page 36)
- Symptoms, signs, and abnormal findings listed in Chapter 18 associated with neoplasms (page 36)
- Admission/encounter for pain control/management (page 36)
All codes under C86
C86 can't be used on a claim. Pick a billable code below; grey headings group them.
- C86.0Extranodal NK/T-cell lymphoma, nasal type
- C86.00Extranodal NK/T-cell lymphoma, nasal type not having achieved remission
- C86.01Extranodal NK/T-cell lymphoma, nasal type, in remission
- C86.1Hepatosplenic T-cell lymphoma
- C86.10Hepatosplenic T-cell lymphoma not having achieved remission
- C86.11Hepatosplenic T-cell lymphoma, in remission
- C86.2Enteropathy-type (intestinal) T-cell lymphoma
- C86.20Enteropathy-type (intestinal) T-cell lymphoma not having achieved remission
- C86.21Enteropathy-type (intestinal) T-cell lymphoma, in remission
- C86.3Subcutaneous panniculitis-like T-cell lymphoma
- C86.30Subcutaneous panniculitis-like T-cell lymphoma not having achieved remission
- C86.31Subcutaneous panniculitis-like T-cell lymphoma, in remission
- C86.4Blastic NK-cell lymphoma
- C86.40Blastic NK-cell lymphoma not having achieved remission
- C86.41Blastic NK-cell lymphoma, in remission
- C86.5Angioimmunoblastic T-cell lymphoma
- C86.50Angioimmunoblastic T-cell lymphoma not having achieved remission
- C86.51Angioimmunoblastic T-cell lymphoma, in remission
- C86.6Primary cutaneous CD30-positive T-cell proliferations
- C86.60Primary cutaneous CD30-positive T-cell proliferations not having achieved remission
- C86.61Primary cutaneous CD30-positive T-cell proliferations, in remission
C86 MS-DRGs
As the principal diagnosis, the billable codes under C86 group to these 12 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 820 Lymphoma and Leukemia with Major O.R. Procedures with MCC (12 of 14 codes)
- DRG 821 Lymphoma and Leukemia with Major O.R. Procedures with CC (12 of 14 codes)
- DRG 822 Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC (12 of 14 codes)
- DRG 823 Lymphoma and Non-Acute Leukemia with Other Procedures with MCC (12 of 14 codes)
- DRG 824 Lymphoma and Non-Acute Leukemia with Other Procedures with CC (12 of 14 codes)
- DRG 825 Lymphoma and Non-Acute Leukemia with Other Procedures without CC/MCC (12 of 14 codes)
- DRG 840 Lymphoma and Non-Acute Leukemia with MCC (12 of 14 codes)
- DRG 841 Lymphoma and Non-Acute Leukemia with CC (12 of 14 codes)
- DRG 842 Lymphoma and Non-Acute Leukemia without CC/MCC (12 of 14 codes)
- DRG 974 HIV with Major Related Condition with MCC (12 of 14 codes)
- DRG 975 HIV with Major Related Condition with CC (12 of 14 codes)
- DRG 976 HIV with Major Related Condition without CC/MCC (12 of 14 codes)
Other codes that refer to C86
Notes on these codes point to C86.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Lymphoma
Lymphoma is a cancer of a part of the immune system called the lymph system. There are many types of lymphoma. One type is Hodgkin disease. The rest are called non-Hodgkin lymphomas.
Read more about lymphoma on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
