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C85 ICD-10-CM Code: Other specified and unspecified types of non-Hodgkin lymphoma

C85 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC Buddy coding tools

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Code lookupC85

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

C85

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other specified and unspecified types of non-Hodgkin lymphoma

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Inclusion Terms

Official

No inclusion terms are included in this display for C85. Check the code and parent instructions in the Code Book.

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

Includes

Official

No Includes notes are included in this display for C85. Check the code and parent instructions in the Code Book.

Excludes 1

Official
  • other specified types of T/NK-cell lymphoma (C86.-)
  • personal history of non-Hodgkin lymphoma (Z85.72)

Code First

Official

No Code First sequencing instructions are included in this display for C85. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for C85. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for C85. Check the code and parent instructions in the Code Book.

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 →

Code
C85
Description
Other specified and unspecified types of non-Hodgkin lymphoma
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

C85 is the ICD-10-CM diagnosis code for other specified and unspecified types of non-hodgkin lymphoma. C85 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).

Header codes like C85 cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for C85 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • other specified types of T/NK-cell lymphoma (C86.-)
  • personal history of non-Hodgkin lymphoma (Z85.72)

Child Codes

Code Hierarchy

C85Other specified and unspecified types of non-Hodgkin lymphoma
C85Other specified and unspecified types of non-Hodgkin lymphoma

More on C85

Referenced in blog posts

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