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C83.0A ICD-10-CM Code: Small cell B-cell lymphoma, in remission

C83.0A maps to CMS-HCC V28 21. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · HCC Buddy coding tools

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Code lookupC83.0A

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

C83.0A

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

Small cell B-cell lymphoma, in remission

Small cell B-cell lymphoma that is currently in remission, meaning cancer cells are no longer detectable.

Buddy the Bee presenting code insight

Buddy Insight

Small cell B-cell lymphoma in remission indicates the patient has achieved a treatment response where cancer is no longer detectable.

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

Inclusion Terms

Official
  • Lymphoplasmacytic lymphomaInherited from C83.0
  • Nodal marginal zone lymphomaInherited from C83.0
  • Non-leukemic variant of B-CLLInherited from C83.0
  • Splenic marginal zone lymphomaInherited from C83.0

Excludes 2

Official
  • Kaposi's sarcoma of lymph nodes (C46.3)Inherited from C81-C96
  • secondary and unspecified neoplasm of lymph nodes (C77.-)Inherited from C81-C96
  • secondary neoplasm of bone marrow (C79.52)Inherited from C81-C96
  • secondary neoplasm of spleen (C78.89)Inherited from C81-C96

Includes

Official

No Includes notes are included in this display for C83.0A. Check the code and parent instructions in the Code Book.

Excludes 1

Official
  • personal history of non-Hodgkin lymphoma (Z85.72)Inherited from C83, C83.0
  • chronic lymphocytic leukemia (C91.1)Inherited from C83, C83.0
  • mature T/NK-cell lymphomas (C84.-)Inherited from C83, C83.0
  • Waldenström macroglobulinemia (C88.00)Inherited from C83, C83.0

Code First

Official

No Code First sequencing instructions are included in this display for C83.0A. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for C83.0A. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for C83.0A. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Explicit provider statement of 'in remission' or 'complete remission'
Type of remission (complete vs. partial — code only for confirmed remission)
Date remission was achieved
Ongoing surveillance plan (imaging schedule, lab monitoring)

MEAT Support

HCC Buddy guidance
Explicit provider statement of 'in remission' or 'complete remission'
Type of remission (complete vs. partial — code only for confirmed remission)
Date remission was achieved
Ongoing surveillance plan (imaging schedule, lab monitoring)

Audit Caution

HCC Buddy guidance
Using active disease codes when provider clearly documents remission status
Assigning remission code when only partial response or stable disease is documented
Coding as history (Z85.79) when the patient is still in active surveillance for the lymphoma
Using remission code during a relapse; revert to active disease code with appropriate site

Common Mistakes

HCC Buddy guidance
C83.00 — Unspecified site (active disease); do not use active disease codes when remission is documented
Z85.79 — Personal history of other malignant neoplasm of lymphoid tissue; use when lymphoma is no longer being monitored or treated, not during active remission surveillance
C83.01-C83.09 — Active site-specific codes; once remission is achieved, the site-specific code is replaced by C83.0A

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 C83.0A an HCC code?

Yes. C83.0A (Small cell B-cell lymphoma, in remission) 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: C83.0A 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
C83.0A
Description
Small cell B-cell lymphoma, in remission
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 C83.0A in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for C83.0A

For C83.0A, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

  • 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

Coder workflow notes

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What This Code Means

C83.0A is the ICD-10-CM diagnosis code for small cell b-cell lymphoma, in remission. Small cell B-cell lymphoma that is currently in remission, meaning cancer cells are no longer detectable. C83.0A 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, C83.0A 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 C83.0A; use the applicable model and payment year when reviewing the V28 mapping. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. 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.

Only use this code when documentation explicitly states 'in remission' or 'in complete remission'. For C83.0A, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. 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 C83.0A sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Only use this code when documentation explicitly states 'in remission' or 'in complete remission'
  • Do not use if patient has relapsed or if remission status is unclear

Clinical Significance

Small cell B-cell lymphoma in remission indicates the patient has achieved a treatment response where cancer is no longer detectable. This code is essential for ongoing risk adjustment capture, as patients in remission still require surveillance, have relapse risk, and may be on maintenance therapy. The distinction between active disease and remission is clinically significant.

Documentation Requirements

  • Explicit provider statement of 'in remission' or 'complete remission'
  • Type of remission (complete vs. partial — code only for confirmed remission)
  • Date remission was achieved
  • Ongoing surveillance plan (imaging schedule, lab monitoring)
  • Current medications including any maintenance therapy

Commonly Confused Codes

  • C83.00: Unspecified site (active disease); do not use active disease codes when remission is documented
  • Z85.79: Personal history of other malignant neoplasm of lymphoid tissue; use when lymphoma is no longer being monitored or treated, not during active remission surveillance
  • C83.01-C83.09: Active site-specific codes; once remission is achieved, the site-specific code is replaced by C83.0A

Child Codes

Code Hierarchy

C83.0A code history

Code setChange
FY2025 (effective Oct 1, 2024)Added to the code set

Source: official CMS ICD-10-CM order and addenda files, FY2016 through FY2027.

For C83.0A, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

C83.0A 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 C83.0A. 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 C83.0A in HCC Buddy

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