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C82.98 ICD-10-CM Code: Follicular lymphoma, unspecified, lymph nodes of multiple sites

C82.98 maps to CMS-HCC V28 21. A source-labeled RAF reference is available. Documentation must support MEAT. MEAT criteria · RAF Calculator · free HCC coding tools

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

C82.98

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

Follicular lymphoma, unspecified, lymph nodes of multiple sites

A type of cancer of the lymph system (follicular lymphoma) affecting multiple lymph node regions throughout the body without specification of grade or stage.

Buddy the Bee presenting code insight

Buddy Insight

Follicular lymphoma, unspecified type, involving lymph nodes at multiple sites represents widespread follicular lymphoma without grade determination.

CMS-HCC V28

HCC 21

Code-level coefficient reference

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

HCC 010

Code-level coefficient reference

ESRD/PACE

HCC 10

Code-level coefficient reference

RXHCC

HCC 21

Code-level coefficient reference

Code Book Path

Official
C82Follicular lymphoma
C82.9Follicular lymphoma, unspecified
C82.98Follicular lymphoma, unspecified, lymph nodes of multiple sites

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for C82.98 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for C82.98 in this effective period.

Related Child Codes

Official
C82.90Follicular lymphoma, unspecified, unspecified site
C82.91Follicular lymphoma, unspecified, lymph nodes of head, face, and neck
C82.92Follicular lymphoma, unspecified, intrathoracic lymph nodes
C82.93Follicular lymphoma, unspecified, intra-abdominal lymph nodes
C82.94Follicular lymphoma, unspecified, lymph nodes of axilla and upper limb

Includes

Official

ICD-10-CM does not list Includes notes for C82.98 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for C82.98 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for C82.98 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for C82.98 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for C82.98 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Pathology confirming follicular lymphoma
Imaging documenting involvement of at least two distinct anatomic nodal regions
Specification of all involved nodal regions
Query for grade determination from pathology

MEAT Support

HCC Buddy guidance
Pathology confirming follicular lymphoma
Imaging documenting involvement of at least two distinct anatomic nodal regions
Specification of all involved nodal regions
Query for grade determination from pathology

Audit Caution

HCC Buddy guidance
Using individual site codes instead of the multi-site code when two or more regions are involved
Coding as unspecified site when multi-site involvement is documented — C82.98 is more specific than C82.90
Not querying for grade information to enable more specific coding
Confusing bilateral disease at one site with true multi-site involvement

Common Mistakes

HCC Buddy guidance
C82.88 — Other types of follicular lymphoma, lymph nodes of multiple sites: Use when a specific variant is identified
C82.99 — Follicular lymphoma, unspecified, extranodal and solid organ sites: Distinguish nodal multi-site from extranodal involvement
C82.90 — Follicular lymphoma, unspecified, unspecified site: Even less specific; use C82.98 when multiple sites are documented

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is C82.98 an HCC code?

Yes. C82.98 (Follicular lymphoma, unspecified, lymph nodes of multiple sites) maps to HCC 21, Lymphoma and Other Cancers under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.671. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: C82.98 is billable and maps to V28 HCC 21, Lymphoma and Other Cancers. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code
C82.98
Description
Follicular lymphoma, unspecified, lymph nodes of multiple sites
HCC (V28)
HCC 21 — Lymphoma and Other Cancers
RAF reference coefficient
0.671
Billable
Yes
Payment year
2026

HCC Category Mapping

V28HCC 21, Lymphoma and Other Cancers
0.671
ESRDHCC 10, Lymphoma and Other Cancers
Not separately weighted
RxHCCHCC 21, Lymphomas and Other Hematologic Cancers
Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work C82.98 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT Criteria for C82.98

For C82.98 to 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 C82.98 during that encounter, not just copy-forwarded from a problem list.

Coder workflow notes

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What This Code Means

C82.98 is the ICD-10-CM diagnosis code for follicular lymphoma, unspecified, lymph nodes of multiple sites. A type of cancer of the lymph system (follicular lymphoma) affecting multiple lymph node regions throughout the body without specification of grade or stage. C82.98 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, C82.98 maps to Lymphoma and Other Cancers (HCC 21) with a source-labeled community, non-dual, aged reference coefficient of 0.671. No V24 mapping is shown for C82.98; use the applicable model and payment year when reviewing the V28 mapping. 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. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

Use this code only when lymph nodes in multiple sites are involved; document which specific regions are affected in the medical record. Because C82.98 maps to an HCC category, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) before the diagnosis is used for risk adjustment. 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, source-labeled coefficient references, and MEAT documentation criteria for C82.98 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code only when lymph nodes in multiple sites are involved; document which specific regions are affected in the medical record
  • If grade is documented, consider using more specific codes C82.1x-C82.3x with the 8 site designator

Clinical Significance

Follicular lymphoma, unspecified type, involving lymph nodes at multiple sites represents widespread follicular lymphoma without grade determination. Multi-site nodal disease indicates at least stage III disease and generally requires systemic treatment. The unspecified grade is a documentation gap that should prompt a pathology query, as follicular lymphoma grade directly impacts prognosis and treatment approach (watchful waiting for grade I-II vs. immediate treatment for grade IIIb).

Documentation Requirements

  • Pathology confirming follicular lymphoma
  • Imaging documenting involvement of at least two distinct anatomic nodal regions
  • Specification of all involved nodal regions
  • Query for grade determination from pathology
  • Staging documentation reflecting multi-site involvement
  • Treatment plan

Commonly Confused Codes

  • C82.88: Other types of follicular lymphoma, lymph nodes of multiple sites: Use when a specific variant is identified
  • C82.99: Follicular lymphoma, unspecified, extranodal and solid organ sites: Distinguish nodal multi-site from extranodal involvement
  • C82.90: Follicular lymphoma, unspecified, unspecified site: Even less specific; use C82.98 when multiple sites are documented

Child Codes

Code Hierarchy

Because C82.98 maps to an HCC category, the documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) before the diagnosis is used for risk adjustment.

C82.98 maps to CMS-HCC V28 category 21, Lymphoma and Other Cancers. See the ICD-10 to HCC mapping hub for how the V28 crosswalk works. The mapping identifies a payment HCC category for C82.98. Review its source-labeled HCC coefficient above, check the RAF Calculator with complete member context for CMS-HCC V28 PY2026, and confirm the documentation the chart needs before the code is submitted. HCC Buddy shows no RAF score unless every required source and calculation check passes.

Work C82.98 in HCC Buddy

Open C82.98 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.