C84.46 ICD-10-CM Code: Peripheral T-cell lymphoma, not elsewhere classified, intrapelvic lymph nodes
C84.46 maps to CMS-HCC V28 19 (RAF 1.798). Documentation must support MEAT. MEAT criteria · RAF calculator · HCC Buddy coding tools
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FY 2026 Apr update / Neoplasms (C00-D49) / Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96)
C84.46
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidancePeripheral T-cell lymphoma, not elsewhere classified, intrapelvic lymph nodes
A type of T-cell lymphoma affecting the lymph nodes located within the pelvis.
Buddy Insight
Peripheral T-cell lymphoma not elsewhere classified involving intrapelvic lymph nodes signifies deep pelvic nodal disease from an aggressive T-cell malignancy.
CMS-HCC V28
MappedHCC 19
RAF 1.798
CMS-HCC V24
MappedHCC 10
RAF 0.675
ACA/HHS
MappedHCC 10
Varies by metal level
ESRD/PACE
MappedHCC 10
RAF 0.111
RXHCC
MappedHCC 21
RAF 0.410
Code Book Path
Inclusion Terms
Official- Lennert's lymphoma
- Lymphoepithelioid lymphoma
- Mature T-cell lymphoma, not elsewhere classified
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for C84.46 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for C84.46 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for C84.46 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for C84.46 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for C84.46 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for C84.46 in this effective period.
Buddy Documentation Tip
MEAT Support
Audit Caution
Common Mistakes
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 C84.46 an HCC code?
Yes. C84.46 (Peripheral T-cell lymphoma, not elsewhere classified, intrapelvic lymph nodes) maps to Myelodysplastic Syndromes, Multiple Myeloma, and Other Cancers under the CMS-HCC V28 risk adjustment model (and Lymphoma and Other Cancers under V24), with a community non-dual aged RAF of 1.798. It is billable for payment year 2026.
Coder answer: C84.46 is billable and maps to V28 HCC 19, Myelodysplastic Syndromes, Multiple Myeloma, and Other Cancers. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.
- Code
- C84.46
- Description
- Peripheral T-cell lymphoma, not elsewhere classified, intrapelvic lymph nodes
- HCC (V28)
- HCC 19 — Myelodysplastic Syndromes, Multiple Myeloma, and Other Cancers
- RAF
- 1.798
- Billable
- Yes
- Payment year
- 2026
HCC Category Mapping
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 C84.46 in the Code Book — tabular path, V28 RAF, and MEAT checklist →
MEAT Criteria for C84.46
For C84.46 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 C84.46 during that encounter, not just copy-forwarded from a problem list.
Coder workflow notes
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What This Code Means
C84.46 is the ICD-10-CM diagnosis code for peripheral t-cell lymphoma, not elsewhere classified, intrapelvic lymph nodes. A type of T-cell lymphoma affecting the lymph nodes located within the pelvis. C84.46 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, C84.46 maps to Myelodysplastic Syndromes, Multiple Myeloma, and Other Cancers (HCC 19) with a community, non-dual, aged base RAF weight of 1.798. Under the older CMS-HCC V24 model, C84.46 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 confirms intrapelvic lymph node involvement. Because C84.46 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 C84.46 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Verify documentation confirms intrapelvic lymph node involvement
- •This includes iliac, obturator, and other pelvic lymph nodes
Clinical Significance
Peripheral T-cell lymphoma not elsewhere classified involving intrapelvic lymph nodes signifies deep pelvic nodal disease from an aggressive T-cell malignancy. Intrapelvic involvement can cause urinary obstruction, lower extremity edema, and pelvic pain. This deep anatomical location often requires cross-sectional imaging for detection and accurate staging.
Documentation Requirements
- ✓Pathology confirming PTCL-NOS diagnosis
- ✓CT, MRI, or PET/CT imaging confirming intrapelvic lymph node involvement (iliac, obturator, presacral nodes)
- ✓T-cell immunophenotype confirmed on immunohistochemistry
- ✓Clinical stage documentation
- ✓Confirmation this represents active disease
Commonly Confused Codes
- •C84.43: PTCL-NOS, intra-abdominal lymph nodes: Intra-abdominal nodes (mesenteric, retroperitoneal) are above the pelvic brim; intrapelvic nodes are below it
- •C84.45: PTCL-NOS, inguinal/lower limb: Inguinal nodes are superficial groin nodes, distinct from deep intrapelvic iliac nodes
- •C84.66: ALCL ALK-positive, intrapelvic: Different lymphoma subtype requiring ALK expression
- •C84.76: ALCL ALK-negative, intrapelvic: Morphologically distinct from PTCL-NOS