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C83.82 ICD-10-CM Code: Other non-follicular lymphoma, intrathoracic lymph nodes

C83.82 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)

C83.82

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

Other non-follicular lymphoma, intrathoracic lymph nodes

A type of non-follicular lymphoma affecting the lymph nodes within the chest cavity (thorax).

Buddy the Bee presenting code insight

Buddy Insight

Other non-follicular lymphoma of intrathoracic lymph nodes involves mediastinal, hilar, or other chest cavity lymph nodes.

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
C83Non-follicular lymphoma
C83.8Other non-follicular lymphoma
C83.82Other non-follicular lymphoma, intrathoracic lymph nodes

Inclusion Terms

Official
  • Intravascular large B-cell lymphoma
  • Lymphoid granulomatosis
  • Primary effusion B-cell lymphoma

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for C83.82 in this effective period.

Related Child Codes

Official
C83.80Other non-follicular lymphoma, unspecified site
C83.81Other non-follicular lymphoma, lymph nodes of head, face, and neck
C83.83Other non-follicular lymphoma, intra-abdominal lymph nodes
C83.84Other non-follicular lymphoma, lymph nodes of axilla and upper limb
C83.85Other non-follicular lymphoma, lymph nodes of inguinal region and lower limb

Includes

Official

ICD-10-CM does not list Includes notes for C83.82 in this effective period.

Excludes 1

Official
  • mediastinal (thymic) large B-cell lymphoma (C85.2-)
  • T-cell rich B-cell lymphoma (C83.3-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for C83.82 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for C83.82 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for C83.82 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Pathology confirming non-follicular lymphoma subtype
Chest imaging (CT or PET/CT) documenting intrathoracic lymph node involvement
Specific nodes involved (mediastinal, hilar, paratracheal) if documented
Assessment for complications such as airway compromise or effusions

MEAT Support

HCC Buddy guidance
Pathology confirming non-follicular lymphoma subtype
Chest imaging (CT or PET/CT) documenting intrathoracic lymph node involvement
Specific nodes involved (mediastinal, hilar, paratracheal) if documented
Assessment for complications such as airway compromise or effusions

Audit Caution

HCC Buddy guidance
Confusing intrathoracic lymph node involvement with lung parenchymal involvement (which would be extranodal, C83.89)
Using unspecified site when CT or PET/CT clearly identifies intrathoracic lymphadenopathy
Missing mediastinal lymphoma codes when documentation mentions 'mediastinal mass' without clearly connecting it to lymphoma
Not distinguishing primary mediastinal large B-cell lymphoma (C83.32 or specific code) from other non-follicular types in the mediastinum

Common Mistakes

HCC Buddy guidance
C83.92 — Non-follicular (diffuse) lymphoma, unspecified, intrathoracic: C83.82 is for a specified 'other' subtype; C83.92 is for unspecified subtype at the same location
C85.12 — Unspecified B-cell lymphoma, intrathoracic: Use only when B-cell lineage is confirmed but no subtype classification is available
C83.32 — Diffuse large B-cell lymphoma, intrathoracic: Use when pathology specifically confirms diffuse large B-cell lymphoma; primary mediastinal B-cell lymphoma has its own code

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 C83.82 an HCC code?

Yes. C83.82 (Other non-follicular lymphoma, intrathoracic lymph nodes) 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: C83.82 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
C83.82
Description
Other non-follicular lymphoma, intrathoracic lymph nodes
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 C83.82 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT Criteria for C83.82

For C83.82 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 C83.82 during that encounter, not just copy-forwarded from a problem list.

Coder workflow notes

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What This Code Means

C83.82 is the ICD-10-CM diagnosis code for other non-follicular lymphoma, intrathoracic lymph nodes. A type of non-follicular lymphoma affecting the lymph nodes within the chest cavity (thorax). C83.82 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, C83.82 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 C83.82; 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.

Intrathoracic lymph nodes include mediastinal and hilar lymph nodes. Because C83.82 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 C83.82 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Intrathoracic lymph nodes include mediastinal and hilar lymph nodes
  • Verify documentation specifies chest/thoracic involvement before assigning this code

Clinical Significance

Other non-follicular lymphoma of intrathoracic lymph nodes involves mediastinal, hilar, or other chest cavity lymph nodes. Intrathoracic lymphoma can cause significant complications including airway compression, superior vena cava syndrome, and pleural effusions. This presentation often requires urgent workup and treatment initiation, representing high-acuity disease management.

Documentation Requirements

  • Pathology confirming non-follicular lymphoma subtype
  • Chest imaging (CT or PET/CT) documenting intrathoracic lymph node involvement
  • Specific nodes involved (mediastinal, hilar, paratracheal) if documented
  • Assessment for complications such as airway compromise or effusions
  • Current treatment status and response

Commonly Confused Codes

  • C83.92: Non-follicular (diffuse) lymphoma, unspecified, intrathoracic: C83.82 is for a specified 'other' subtype; C83.92 is for unspecified subtype at the same location
  • C85.12: Unspecified B-cell lymphoma, intrathoracic: Use only when B-cell lineage is confirmed but no subtype classification is available
  • C83.32: Diffuse large B-cell lymphoma, intrathoracic: Use when pathology specifically confirms diffuse large B-cell lymphoma; primary mediastinal B-cell lymphoma has its own code

Child Codes

Code Hierarchy

Because C83.82 maps to an HCC category, the documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) before the diagnosis is used for risk adjustment.

C83.82 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 C83.82. 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 C83.82 in HCC Buddy

Open C83.82 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.