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C83.11 ICD-10-CM Code: Mantle cell 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)

C83.11

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

Mantle cell lymphoma, lymph nodes of head, face, and neck

A type of cancer affecting B-cells in the lymph nodes of the head, face, and neck region.

Buddy the Bee presenting code insight

Buddy Insight

Mantle cell lymphoma involving head, face, and neck lymph nodes may present as painless cervical lymphadenopathy and requires differentiation from other head and neck lymphomas.

CMS-HCC V28

HCC 20

RAF 1.136

CMS-HCC V24

HCC 10

RAF 0.675

ACA/HHS

HCC 10

Varies by metal level

ESRD/PACE

HCC 10

RAF 0.111

RXHCC

HCC 19

RAF 1.949

Code Book Path

Official
C83Non-follicular lymphoma
C83.1Mantle cell lymphoma
C83.11Mantle cell lymphoma, lymph nodes of head, face, and neck

Inclusion Terms

Official
  • Centrocytic lymphoma
  • Malignant lymphomatous polyposis

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for C83.11 in this effective period.

Related Child Codes

Official
C83.10Mantle cell lymphoma, unspecified site
C83.12Mantle cell lymphoma, intrathoracic lymph nodes
C83.13Mantle cell lymphoma, intra-abdominal lymph nodes
C83.14Mantle cell lymphoma, lymph nodes of axilla and upper limb
C83.15Mantle cell lymphoma, lymph nodes of inguinal region and lower limb

Includes

Official

ICD-10-CM does not list Includes notes for C83.11 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for C83.11 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for C83.11 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for C83.11 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for C83.11 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Pathology with immunohistochemistry confirming mantle cell lymphoma (cyclin D1+, CD5+, CD20+)
Documentation specifying head, face, or neck lymph node involvement
Imaging (CT neck, PET/CT) documenting cervical lymphadenopathy
Assessment for Waldeyer ring involvement

MEAT Support

HCC Buddy guidance
Pathology with immunohistochemistry confirming mantle cell lymphoma (cyclin D1+, CD5+, CD20+)
Documentation specifying head, face, or neck lymph node involvement
Imaging (CT neck, PET/CT) documenting cervical lymphadenopathy
Assessment for Waldeyer ring involvement

Audit Caution

HCC Buddy guidance
Failing to distinguish cervical lymphadenopathy from other causes before assigning lymphoma code
Using multiple site code when bilateral cervical involvement represents a single anatomical region
Not documenting Waldeyer ring involvement separately when present

Common Mistakes

HCC Buddy guidance
C83.01 — Small cell B-cell lymphoma, head/face/neck; different histology, requires pathology differentiation
C83.31 — Diffuse large B-cell lymphoma, head/face/neck; much more common, but different subtype
C81.01 — Nodular lymphocyte predominant Hodgkin lymphoma, head/face/neck; Hodgkin vs. non-Hodgkin distinction
C83.18 — Mantle cell lymphoma, multiple sites; use C83.11 when disease is confined to head/face/neck region

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 C83.11 an HCC code?

Yes. C83.11 (Mantle cell lymphoma, lymph nodes of head, face, and neck) maps to Lung and Other Severe Cancers under the CMS-HCC V28 risk adjustment model (and Lymphoma and Other Cancers under V24), with a community non-dual aged RAF of 1.136. It is billable for payment year 2026.

Coder answer: C83.11 is billable and maps to V28 HCC 20, Lung and Other Severe Cancers. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code
C83.11
Description
Mantle cell lymphoma, lymph nodes of head, face, and neck
HCC (V28)
HCC 20 — Lung and Other Severe Cancers
RAF
1.136
Billable
Yes
Payment year
2026

HCC Category Mapping

V28HCC 20, Lung and Other Severe Cancers
1.136
V24HCC 10, Lymphoma and Other Cancers
0.675
ESRDHCC 10, Lymphoma and Other Cancers
0.111
RxHCCHCC 19, Lymphoma and Other Cancers
1.949

Each model's RAF is its CMS base weight for that model's standard population, so 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 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.

Work C83.11 in the Code Book — tabular path, V28 RAF, and MEAT checklist →

MEAT Criteria for C83.11

For C83.11 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 C83.11 during that encounter, not just copy-forwarded from a problem list.

Coder workflow notes

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What This Code Means

C83.11 is the ICD-10-CM diagnosis code for mantle cell lymphoma, lymph nodes of head, face, and neck. A type of cancer affecting B-cells in the lymph nodes of the head, face, and neck region. C83.11 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, C83.11 maps to Lung and Other Severe Cancers (HCC 20) with a community, non-dual, aged base RAF weight of 1.136. Under the older CMS-HCC V24 model, C83.11 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.

Verify documentation specifies head, face, and neck lymph node involvement. Because C83.11 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 C83.11 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Verify documentation specifies head, face, and neck lymph node involvement
  • If remission is documented, use C83.1A instead

Clinical Significance

Mantle cell lymphoma involving head, face, and neck lymph nodes may present as painless cervical lymphadenopathy and requires differentiation from other head and neck lymphomas. Waldeyer ring involvement occurs in approximately 10-15% of mantle cell lymphoma cases and may indicate extranodal extension requiring additional coding.

Documentation Requirements

  • Pathology with immunohistochemistry confirming mantle cell lymphoma (cyclin D1+, CD5+, CD20+)
  • Documentation specifying head, face, or neck lymph node involvement
  • Imaging (CT neck, PET/CT) documenting cervical lymphadenopathy
  • Assessment for Waldeyer ring involvement
  • Staging documentation including ENT evaluation if applicable

Commonly Confused Codes

  • C83.01: Small cell B-cell lymphoma, head/face/neck; different histology, requires pathology differentiation
  • C83.31: Diffuse large B-cell lymphoma, head/face/neck; much more common, but different subtype
  • C81.01: Nodular lymphocyte predominant Hodgkin lymphoma, head/face/neck; Hodgkin vs. non-Hodgkin distinction
  • C83.18: Mantle cell lymphoma, multiple sites; use C83.11 when disease is confined to head/face/neck region

Child Codes

Code Hierarchy

Because C83.11 maps to a payment HCC, the documentation must also satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's risk adjustment score.

C83.11 maps to CMS-HCC V28 category 20, Lung and Other Severe Cancers. See the ICD-10 to HCC mapping hub for how the V28 crosswalk works. Because C83.11 carries a payment HCC, you can see what it adds to a RAF score and check the documentation the chart needs before it is submitted.

Work C83.11 in HCC Buddy

Open C83.11 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.