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C83.3A ICD-10-CM Code: Diffuse large B-cell lymphoma, in remission

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

C83.3A

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

Diffuse large B-cell lymphoma, in remission

A type of aggressive blood cancer (diffuse large B-cell lymphoma) that is currently in remission, meaning the cancer is not actively growing or has responded well to treatment.

Buddy the Bee presenting code insight

Buddy Insight

Diffuse large B-cell lymphoma in remission indicates the patient has achieved treatment response, typically after R-CHOP or similar chemoimmunotherapy.

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 21

RAF 0.410

Code Book Path

Official
C83Non-follicular lymphoma
C83.3Diffuse large B-cell lymphoma
C83.3ADiffuse large B-cell lymphoma, in remission

Inclusion Terms

Official
  • Anaplastic diffuse large B-cell lymphoma
  • CD30-positive diffuse large B-cell lymphoma
  • Centroblastic diffuse large B-cell lymphoma
  • Diffuse large B-cell lymphoma, subtype not specified
  • Immunoblastic diffuse large B-cell lymphoma

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for C83.3A in this effective period.

Related Child Codes

Official
C83.30Diffuse large B-cell lymphoma, unspecified site
C83.31Diffuse large B-cell lymphoma, lymph nodes of head, face, and neck
C83.32Diffuse large B-cell lymphoma, intrathoracic lymph nodes
C83.33Diffuse large B-cell lymphoma, intra-abdominal lymph nodes
C83.34Diffuse large B-cell lymphoma, lymph nodes of axilla and upper limb

Includes

Official

ICD-10-CM does not list Includes notes for C83.3A in this effective period.

Excludes 1

Official
  • mediastinal (thymic) large B-cell lymphoma (C85.2-)
  • mature T/NK-cell lymphomas (C84.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for C83.3A in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for C83.3A in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for C83.3A in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Explicit provider statement of complete remission or partial remission
End-of-treatment PET/CT showing complete metabolic response (Deauville score 1-3)
Date remission was achieved
Surveillance schedule and follow-up plan

MEAT Support

HCC Buddy guidance
Explicit provider statement of complete remission or partial remission
End-of-treatment PET/CT showing complete metabolic response (Deauville score 1-3)
Date remission was achieved
Surveillance schedule and follow-up plan

Audit Caution

HCC Buddy guidance
Using active disease codes during documented remission, losing the specificity of remission status
Prematurely converting to personal history code while patient is still under active surveillance
Coding remission during a relapse; revert to active disease code
Assigning remission when only stable disease or partial response is documented

Common Mistakes

HCC Buddy guidance
C83.30 — Active DLBCL, unspecified; do not use when remission is documented
Z85.79 — Personal history of lymphoid malignancy; use only after active surveillance has ended, typically after 5 years
C83.31-C83.398 — Active site-specific codes; replace with C83.3A when remission is achieved

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 C83.3A an HCC code?

Yes. C83.3A (Diffuse large B-cell lymphoma, in remission) 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: C83.3A 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
C83.3A
Description
Diffuse large B-cell lymphoma, in remission
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 21, Hodgkin Lymphoma and Other Cancers
0.410

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 C83.3A in the Code Book — tabular path, V28 RAF, and MEAT checklist →

MEAT Criteria for C83.3A

For C83.3A 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 C83.3A during that encounter, not just copy-forwarded from a problem list.

Coder workflow notes

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What This Code Means

C83.3A is the ICD-10-CM diagnosis code for diffuse large b-cell lymphoma, in remission. A type of aggressive blood cancer (diffuse large B-cell lymphoma) that is currently in remission, meaning the cancer is not actively growing or has responded well to treatment. C83.3A 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, C83.3A 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, C83.3A 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.

The 'A' suffix indicates remission status; ensure documentation clearly states the patient is in remission before assigning this code. Because C83.3A 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 C83.3A sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • The 'A' suffix indicates remission status; ensure documentation clearly states the patient is in remission before assigning this code
  • Do not use this code if the patient has relapsed or if remission status is unclear; use C83.30 for unspecified status instead

Clinical Significance

Diffuse large B-cell lymphoma in remission indicates the patient has achieved treatment response, typically after R-CHOP or similar chemoimmunotherapy. DLBCL has approximately 60-70% cure rates with first-line therapy, and remission documentation is critical for ongoing risk adjustment capture during surveillance. Relapse risk is highest in the first 2 years after treatment.

Documentation Requirements

  • Explicit provider statement of complete remission or partial remission
  • End-of-treatment PET/CT showing complete metabolic response (Deauville score 1-3)
  • Date remission was achieved
  • Surveillance schedule and follow-up plan
  • Any ongoing therapy (e.g., consolidation radiation, maintenance)

Commonly Confused Codes

  • C83.30: Active DLBCL, unspecified; do not use when remission is documented
  • Z85.79: Personal history of lymphoid malignancy; use only after active surveillance has ended, typically after 5 years
  • C83.31-C83.398: Active site-specific codes; replace with C83.3A when remission is achieved

Child Codes

Code Hierarchy

C83.3A 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.

Because C83.3A 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.

C83.3A 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 C83.3A 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 C83.3A in HCC Buddy

Open C83.3A 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.