C94Not billable, use a more specific code below

Other leukemias of specified cell type

In Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96), chapter 2: Neoplasms

16 billable codes under C94: all are a CC; all map to HCC 17 (Cancer Metastatic to Lung, Liver, Brain, and Other Organs; Acute Myeloid Leukemia Except Promyelocytic), 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

Excludes1: not coded here, use a different code

  • leukemic reticuloendotheliosis (C91.4-)
  • myelodysplastic syndromes (D46.-)
  • personal history of leukemia (Z85.6)
  • plasma cell leukemia (C90.1-)

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 C94.

Excludes2: not included here, code separately if applicable

  • Kaposi's sarcoma of lymph nodes (C46.3)
  • secondary and unspecified neoplasm of lymph nodes (C77.-)
  • secondary neoplasm of bone marrow (C79.52)
  • secondary neoplasm of spleen (C78.89)

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.

Read Section I.C.2 (page 32), 12 more topics

Other codes that refer to C94

Notes on these codes point to C94.

  • D72.825 Excludes1: leukemia (C91.-, C92.-, C93.-, C94.-, C95.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Leukemia

Leukemia is a term for cancers of the blood cells. Leukemia starts in blood-forming tissues such as the bone marrow. Your bone marrow makes the cells which will develop into white blood cells, red blood cells, and platelets. Each type of cell has a different job:

Read more about leukemia on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.