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C84.95 ICD-10-CM Code: Mature T/NK-cell lymphomas, unspecified, lymph nodes of inguinal region and lower limb

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

C84.95

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

Mature T/NK-cell lymphomas, unspecified, lymph nodes of inguinal region and lower limb

A mature T-cell or natural killer cell lymphoma affecting the lymph nodes in the groin and lower leg areas.

Buddy the Bee presenting code insight

Buddy Insight

Mature T/NK-cell lymphomas, unspecified, involving inguinal and lower limb lymph nodes captures unclassified T/NK-cell lymphoma with groin and lower extremity nodal disease.

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
C84Mature T/NK-cell lymphomas
C84.9Mature T/NK-cell lymphomas, unspecified
C84.95Mature T/NK-cell lymphomas, unspecified, lymph nodes of inguinal region and lower limb

Inclusion Terms

Official
  • NK/T cell lymphoma NOS

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for C84.95 in this effective period.

Related Child Codes

Official
C84.90Mature T/NK-cell lymphomas, unspecified, unspecified site
C84.91Mature T/NK-cell lymphomas, unspecified, lymph nodes of head, face, and neck
C84.92Mature T/NK-cell lymphomas, unspecified, intrathoracic lymph nodes
C84.93Mature T/NK-cell lymphomas, unspecified, intra-abdominal lymph nodes
C84.94Mature T/NK-cell lymphomas, unspecified, lymph nodes of axilla and upper limb

Includes

Official

ICD-10-CM does not list Includes notes for C84.95 in this effective period.

Excludes 1

Official
  • mature T-cell lymphoma, not elsewhere classified (C84.4-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for C84.95 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for C84.95 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for C84.95 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Pathology confirming mature T-cell or NK-cell lymphoma lineage
Physical exam or imaging documenting inguinal/lower limb lymph node involvement
Immunophenotyping results
Documentation of diagnostic classification attempts

MEAT Support

HCC Buddy guidance
Pathology confirming mature T-cell or NK-cell lymphoma lineage
Physical exam or imaging documenting inguinal/lower limb lymph node involvement
Immunophenotyping results
Documentation of diagnostic classification attempts

Audit Caution

HCC Buddy guidance
Confusing inguinal with intrapelvic nodes
Using unspecified code when additional pathologic workup could provide specific subtype
Coding reactive inguinal lymphadenopathy as lymphoma without biopsy
Not documenting laterality of inguinal involvement when applicable

Common Mistakes

HCC Buddy guidance
C84.45 — PTCL-NOS, inguinal/lower limb: More specific subtype
C84.65/C84.75 — ALCL ALK-positive/negative, inguinal/lower limb: If ALCL confirmed
C84.96 — Mature T/NK-cell lymphoma, unspecified, intrapelvic: Different anatomical location
C84.A5 — Cutaneous T-cell lymphoma, inguinal/lower limb: Skin-primary T-cell 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 C84.95 an HCC code?

Yes. C84.95 (Mature T/NK-cell lymphomas, unspecified, lymph nodes of inguinal region and lower limb) 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: C84.95 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
C84.95
Description
Mature T/NK-cell lymphomas, unspecified, lymph nodes of inguinal region and lower limb
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 C84.95 in the Code Book — tabular path, V28 RAF, and MEAT checklist →

MEAT Criteria for C84.95

For C84.95 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 C84.95 during that encounter, not just copy-forwarded from a problem list.

Coder workflow notes

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What This Code Means

C84.95 is the ICD-10-CM diagnosis code for mature t/nk-cell lymphomas, unspecified, lymph nodes of inguinal region and lower limb. A mature T-cell or natural killer cell lymphoma affecting the lymph nodes in the groin and lower leg areas. C84.95 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, C84.95 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, C84.95 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.

Confirm inguinal and lower limb lymph node involvement through examination or imaging documentation. Because C84.95 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 C84.95 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Confirm inguinal and lower limb lymph node involvement through examination or imaging documentation
  • Note whether involvement is in one or both lower extremities

Clinical Significance

Mature T/NK-cell lymphomas, unspecified, involving inguinal and lower limb lymph nodes captures unclassified T/NK-cell lymphoma with groin and lower extremity nodal disease. Inguinal lymphadenopathy has a broad differential including infections, metastatic disease, and various lymphoma subtypes. Specific pathologic subtyping should be pursued for optimal treatment.

Documentation Requirements

  • Pathology confirming mature T-cell or NK-cell lymphoma lineage
  • Physical exam or imaging documenting inguinal/lower limb lymph node involvement
  • Immunophenotyping results
  • Documentation of diagnostic classification attempts
  • Clinical staging

Commonly Confused Codes

  • C84.45: PTCL-NOS, inguinal/lower limb: More specific subtype
  • C84.65/C84.75: ALCL ALK-positive/negative, inguinal/lower limb: If ALCL confirmed
  • C84.96: Mature T/NK-cell lymphoma, unspecified, intrapelvic: Different anatomical location
  • C84.A5: Cutaneous T-cell lymphoma, inguinal/lower limb: Skin-primary T-cell lymphoma

Child Codes

Code Hierarchy

Because C84.95 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.

C84.95 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 C84.95 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 C84.95 in HCC Buddy

Open C84.95 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.