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C81.71 ICD-10-CM Code: Other Hodgkin lymphoma, lymph nodes of head, face, and neck

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FY 2026 Apr update / Neoplasms (C00-D49) / Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96)

C81.71

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Other Hodgkin lymphoma, lymph nodes of head, face, and neck

A less common type of Hodgkin lymphoma affecting lymph nodes in the head, face, and neck region.

Buddy the Bee presenting code insight

Buddy Insight

Other Hodgkin lymphoma involving head, face, and neck lymph nodes captures a pathologically confirmed Hodgkin variant that does not fit standard subtype categories in the most common presentation site.

CMS-HCC V28

HCC 21

RAF 0.545

CMS-HCC V24

HCC 10

RAF 0.675

ACA/HHS

0

0

RAF 0

ESRD/PACE

HCC 10

RAF 0.0

RXHCC

HCC 21

RAF 0.0

Code Trumping

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Code Book Path

Official
C81Hodgkin lymphoma
C81.7Other Hodgkin lymphoma
C81.71Other Hodgkin lymphoma, lymph nodes of head, face, and neck

Inclusion Terms

Official
  • Classical Hodgkin lymphoma NOS
  • Other classical Hodgkin lymphoma

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for C81.71 in this effective period.

Related Child Codes

Official
C81.70Other Hodgkin lymphoma, unspecified site
C81.72Other Hodgkin lymphoma, intrathoracic lymph nodes
C81.73Other Hodgkin lymphoma, intra-abdominal lymph nodes
C81.74Other Hodgkin lymphoma, lymph nodes of axilla and upper limb
C81.75Other Hodgkin lymphoma, lymph nodes of inguinal region and lower limb

Includes

Official

ICD-10-CM does not list Includes notes for C81.71 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for C81.71 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for C81.71 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for C81.71 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for C81.71 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Pathology report indicating Hodgkin lymphoma classified as 'other' type with specific morphologic features described
Physical exam or imaging documenting head, face, or neck lymph node involvement
Explanation of why the case does not fit standard subtype categories
Complete staging workup

MEAT Support

HCC Buddy guidance
Pathology report indicating Hodgkin lymphoma classified as 'other' type with specific morphologic features described
Physical exam or imaging documenting head, face, or neck lymph node involvement
Explanation of why the case does not fit standard subtype categories
Complete staging workup

Audit Caution

HCC Buddy guidance
Selecting 'other' Hodgkin when the pathology actually identifies a standard subtype
Using unspecified type (C81.91) when pathology has specifically classified the variant as 'other'
Not documenting the specific head/face/neck nodes when physical exam identifies them
Failing to review the full pathology report before selecting the subtype code

Common Mistakes

HCC Buddy guidance
C81.11 — Nodular sclerosis Hodgkin lymphoma, head/face/neck: the most common subtype at this site; verify pathology does not match standard categories
C81.91 — Hodgkin lymphoma, unspecified type, head/face/neck: use C81.71 when pathology confirms Hodgkin but classifies it as a non-standard variant; use C81.91 when the subtype is truly unknown
C85.11 — Unspecified B-cell lymphoma, head/face/neck: this is a non-Hodgkin lymphoma code

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is C81.71 an HCC code?

Yes. C81.71 maps to Breast, Prostate, Colorectal and Other Cancers and Tumors under the CMS-HCC V28 risk adjustment model (and Lymphoma and Other Cancers under V24).

HCC Category Mapping

V28HCC 21, Breast, Prostate, Colorectal and Other Cancers and Tumors
0.545
V24HCC 10, Lymphoma and Other Cancers
0.675
ESRDHCC 10, Lymphoma and Other Cancers
0.000
RxHCCHCC 21, Hodgkin Lymphoma and Other Cancers
0.000

RAF weights shown are the community, non-dual, aged base weights from the CMS risk adjustment model file. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.

MEAT Criteria for C81.71

For C81.71to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically, it has to be re-documented and supported each calendar year.

  • MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
  • EEvaluate: test results, medication response, or physical findings reviewed by the provider
  • AAssess: explicit mention in the assessment or plan with acknowledgment of status
  • TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed C81.71 during that encounter, not just copy-forwarded from a problem list.

What This Code Means

C81.71 is the ICD-10-CM diagnosis code for other hodgkin lymphoma, lymph nodes of head, face, and neck. A less common type of Hodgkin lymphoma affecting lymph nodes in the head, face, and neck region. C81.71 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering malignant neoplasms of lymphoid, hematopoietic and related tissue (c81-c96).

Under the CMS-HCC V28 risk adjustment model, C81.71 maps to Breast, Prostate, Colorectal and Other Cancers and Tumors (HCC 21) with a community, non-dual, aged base RAF weight of 0.545. Under the older CMS-HCC V24 model, C81.71 maps to Lymphoma and Other Cancers (HCC 10) with a community, non-dual, aged base RAF weight of 0.675. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition.

Confirm this is 'other' Hodgkin lymphoma subtype, not lymphocyte-rich or nodular sclerosis. Because C81.71 maps to a payment HCC, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's Medicare Advantage risk adjustment score. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for C81.71 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Confirm this is 'other' Hodgkin lymphoma subtype, not lymphocyte-rich or nodular sclerosis
  • Document specific anatomical sites within head/face/neck for treatment planning purposes

Clinical Significance

Other Hodgkin lymphoma involving head, face, and neck lymph nodes captures a pathologically confirmed Hodgkin variant that does not fit standard subtype categories in the most common presentation site. Cervical lymphadenopathy is the typical initial presentation for Hodgkin lymphoma, and rare variant histology at this site warrants careful pathologic review and appropriate oncologic management.

Documentation Requirements

  • Pathology report indicating Hodgkin lymphoma classified as 'other' type with specific morphologic features described
  • Physical exam or imaging documenting head, face, or neck lymph node involvement
  • Explanation of why the case does not fit standard subtype categories
  • Complete staging workup
  • Active management documentation during the encounter

Commonly Confused Codes

  • C81.11 — Nodular sclerosis Hodgkin lymphoma, head/face/neck: the most common subtype at this site; verify pathology does not match standard categories
  • C81.91 — Hodgkin lymphoma, unspecified type, head/face/neck: use C81.71 when pathology confirms Hodgkin but classifies it as a non-standard variant; use C81.91 when the subtype is truly unknown
  • C85.11 — Unspecified B-cell lymphoma, head/face/neck: this is a non-Hodgkin lymphoma code

Child Codes

Code Hierarchy

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