What is ICD-10 code C83.57?

C83.57 is the ICD-10-CM diagnosis code for Lymphoblastic (diffuse) lymphoma, spleen. A type of blood cancer affecting immature lymphoid cells located in the spleen, an organ that filters blood and produces immune cells. It belongs to the ICD-10-CM chapter for neoplasms (c00-d49). C83.57 is a billable code, meaning it can be reported on a claim as a primary or secondary diagnosis when supported by documentation. C83.57 is part of the FY2026 ICD-10-CM code set published by the CMS National Center for Health Statistics and used on Medicare, Medicaid, and commercial claims in the United States.

Yes. C83.57 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. C83.57 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Which HCC does C83.57 map to under V28?

C83.57 maps to CMS-HCC V28 HCC 20 (Lung and Other Severe Cancers). The category numbers, labels, and conditions come from the CMS-HCC V28 model file for payment year 2026.

2026 ICD-10-CM C83.57: Lymphoblastic (diffuse)

C83.57 maps to CMS-HCC V28 20. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · HCC coding software

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

Code lookupC83.57

Effective periodFY2026 Apr Update (Apr 1-Sep 30)

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

C83.57

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

Lymphoblastic (diffuse) lymphoma, spleen

A type of blood cancer affecting immature lymphoid cells located in the spleen, an organ that filters blood and produces immune cells.

Buddy Insight

Lymphoblastic lymphoma of the spleen is an uncommon extranodal site for this aggressive lymphoma.

Overview Risk Models Code Book Documentation Audit Notes Edition comparison

CMS-HCC V28

Mapped

HCC 20

Lung and Other Severe Cancers

Code-level coefficient reference

CMS-HCC V24

Historical

Not used for standard CY2026 Medicare Advantage payment. Select a historical period to review V24.

Not used for CY2026 payment

ACA/HHS

Mapped

HCC 010

HHS-HCC 010 adult, RAF varies...

Code-level coefficient reference

ESRD/PACE

Mapped

HCC 10

Lymphoma and Other Cancers

Code-level coefficient reference

RXHCC

Mapped

HCC 21

Lymphomas and Other Hematolog...

Code-level coefficient reference

Code Book Path

Official

C83Non-follicular lymphoma C83.5Lymphoblastic (diffuse) lymphoma C83.57Lymphoblastic (diffuse) lymphoma, spleen

Inclusion Terms

Official

B-precursor lymphomaInherited from C83.5
Lymphoblastic B-cell lymphomaInherited from C83.5
Lymphoblastic lymphoma NOSInherited from C83.5
Lymphoblastic T-cell lymphomaInherited from C83.5
T-precursor lymphomaInherited from C83.5

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

Related Codes

Official

C83.50Lymphoblastic (diffuse) lymphoma, unspecified site C83.51Lymphoblastic (diffuse) lymphoma, lymph nodes of head, face, and neck C83.52Lymphoblastic (diffuse) lymphoma, intrathoracic lymph nodes C83.53Lymphoblastic (diffuse) lymphoma, intra-abdominal lymph nodes C83.54Lymphoblastic (diffuse) lymphoma, lymph nodes of axilla and upper limb

Includes

Official

No Includes notes are included in this display for C83.57. Check the code and parent instructions in the Code Book.

Excludes 1

Official

personal history of non-Hodgkin lymphoma (Z85.72)Inherited from C83

Code First

Official

No Code First sequencing instructions are included in this display for C83.57. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for C83.57. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for C83.57. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance

Pathology confirmation from splenectomy specimen or splenic biopsy with TdT staining

Imaging documenting splenic involvement

CBC documenting cytopenias related to splenic disease

Bone marrow biopsy to exclude leukemic component

MEAT Support

HCC Buddy guidance

Pathology confirmation from splenectomy specimen or splenic biopsy with TdT staining

Imaging documenting splenic involvement

CBC documenting cytopenias related to splenic disease

Bone marrow biopsy to exclude leukemic component

Audit Caution

HCC Buddy guidance

Coding splenic involvement under intra-abdominal nodes instead of the specific splenic code

Assuming splenectomy equals remission without explicit documentation

Not performing bone marrow biopsy in a patient with splenic lymphoblastic disease

Common Mistakes

HCC Buddy guidance

C83.53 — Lymphoblastic lymphoma, intra-abdominal; spleen has its own specific code

C83.59 — Lymphoblastic lymphoma, extranodal; use C83.57 specifically for splenic involvement

C83.37 — DLBCL, spleen; different lymphoma subtype

C83.07 — Small cell B-cell lymphoma, spleen; indolent vs. aggressive lymphoma

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 C83.57 an HCC code?

Yes. C83.57 (Lymphoblastic (diffuse) lymphoma, spleen) maps to HCC 20, Lung and Other Severe Cancers under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 1.136. 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: C83.57 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: C83.57
Description: Lymphoblastic (diffuse) lymphoma, spleen
HCC (V28): HCC 20 — Lung and Other Severe Cancers
RAF reference coefficient: 1.136
Billable: Yes
Payment year: 2026

HCC Category Mapping

V28HCC 20, Lung and Other Severe Cancers

1.136

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 C83.57 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for C83.57

For C83.57, 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

Get the V28 mapping + MEAT cheat sheet

One printable reference: check representative V28 mappings and the documentation reminders your note needs. Free, no card.

Free PDF. No card. Unsubscribe anytime.

What This Code Means

C83.57 is the ICD-10-CM diagnosis code for lymphoblastic (diffuse) lymphoma, spleen. A type of blood cancer affecting immature lymphoid cells located in the spleen, an organ that filters blood and produces immune cells. C83.57 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, C83.57 maps to Lung and Other Severe Cancers (HCC 20) with a source-labeled community, non-dual, aged reference coefficient of 1.136. No V24 mapping is shown for C83.57; 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.

Use this code when the spleen is the documented site of lymphoblastic lymphoma involvement. For C83.57, 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 C83.57 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

•Use this code when the spleen is the documented site of lymphoblastic lymphoma involvement
•Splenic involvement may occur with or without lymph node involvement

Clinical Significance

Lymphoblastic lymphoma of the spleen is an uncommon extranodal site for this aggressive lymphoma. Splenic involvement may present with splenomegaly and cytopenias. Given the immature lymphoid cell origin, splenic involvement warrants bone marrow assessment to evaluate for leukemic transformation.

Documentation Requirements

✓Pathology confirmation from splenectomy specimen or splenic biopsy with TdT staining
✓Imaging documenting splenic involvement
✓CBC documenting cytopenias related to splenic disease
✓Bone marrow biopsy to exclude leukemic component
✓Splenectomy status if applicable

Commonly Confused Codes

•C83.53: Lymphoblastic lymphoma, intra-abdominal; spleen has its own specific code
•C83.59: Lymphoblastic lymphoma, extranodal; use C83.57 specifically for splenic involvement
•C83.37: DLBCL, spleen; different lymphoma subtype
•C83.07: Small cell B-cell lymphoma, spleen; indolent vs. aggressive lymphoma