Notification



Notification Issue Date:



Policy Attachment


Attachment to Policy # 08.00.50t


Attachment:B

Policy #:08.00.50t

Description:ICD-10 CODES AND NARRATIVES

Title:Rituximab (Rituxan®) Infusion and Related Biosimilars, and Rituximab/Hyaluronidase Human for Subcutaneous Injection (Rituxan Hycela®)


Inclusion of a code in this table does not imply reimbursement. Eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and Company policies apply.

The codes listed below are updated on a regular basis, in accordance with nationally accepted coding guidelines. Therefore, this policy applies to any and all future applicable coding changes, revisions, or updates.

In order to ensure optimal reimbursement, all health care services, devices, and pharmaceuticals should be reported using the billing codes and modifiers that most accurately represent the services rendered, unless otherwise directed by the Company.



ICD-10 CODES AND NARRATIVES


RITUXIMAB (RITUXAN) AND RELATED BIOSIMILARS (E.G., RITUXIMAB-ABBS [TRUXIMA
®]) ARE MEDICALLY NECESSARY WHEN REPORTED WITH THE FOLLOWING DIAGNOSIS CODES:

C79.32 Secondary malignant neoplasm of cerebral meninges

C79.49 Secondary malignant neoplasm of other parts of nervous system

C81.00 Nodular lymphocyte predominant Hodgkin lymphoma, unspecified site

C81.01 Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of head, face, and neck

C81.02 Nodular lymphocyte predominant Hodgkin lymphoma, intrathoracic lymph nodes

C81.03 Nodular lymphocyte predominant Hodgkin lymphoma, intra-abdominal lymph nodes

C81.04 Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of axilla and upper limb

C81.05 Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of inguinal region and lower limb

C81.06 Nodular lymphocyte predominant Hodgkin lymphoma, intrapelvic lymph nodes

C81.07 Nodular lymphocyte predominant Hodgkin lymphoma, spleen

C81.08 Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of multiple sites

C81.09 Nodular lymphocyte predominant Hodgkin lymphoma, extranodal and solid organ sites

C81.70 Other Hodgkin lymphoma, unspecified site

C81.71 Other Hodgkin lymphoma, lymph nodes of head, face, and neck

C81.72 Other Hodgkin lymphoma, intrathoracic lymph nodes

C81.73 Other Hodgkin lymphoma, intra-abdominal lymph nodes

C81.74 Other Hodgkin lymphoma, lymph nodes of axilla and upper limb

C81.75 Other Hodgkin lymphoma, lymph nodes of inguinal region and lower limb

C81.76 Other Hodgkin lymphoma, intrapelvic lymph nodes

C81.77 Other Hodgkin lymphoma, spleen

C81.78 Other Hodgkin lymphoma, lymph nodes of multiple sites

C81.79 Other Hodgkin lymphoma, extranodal and solid organ sites

C82.00 Follicular lymphoma grade I, unspecified site

C82.01 Follicular lymphoma grade I, lymph nodes of head, face, and neck

C82.02 Follicular lymphoma grade I, intrathoracic lymph nodes

C82.03 Follicular lymphoma grade I, intra-abdominal lymph nodes

C82.04 Follicular lymphoma grade I, lymph nodes of axilla and upper limb

C82.05 Follicular lymphoma grade I, lymph nodes of inguinal region and lower limb

C82.06 Follicular lymphoma grade I, intrapelvic lymph nodes

C82.07 Follicular lymphoma grade I, spleen

C82.08 Follicular lymphoma grade I, lymph nodes of multiple sites

C82.09 Follicular lymphoma grade I, extranodal and solid organ sites

C82.10 Follicular lymphoma grade II, unspecified site

C82.11 Follicular lymphoma grade II, lymph nodes of head, face, and neck

C82.12 Follicular lymphoma grade II, intrathoracic lymph nodes

C82.13 Follicular lymphoma grade II, intra-abdominal lymph nodes

C82.14 Follicular lymphoma grade II, lymph nodes of axilla and upper limb

C82.15 Follicular lymphoma grade II, lymph nodes of inguinal region and lower limb

C82.16 Follicular lymphoma grade II, intrapelvic lymph nodes

C82.17 Follicular lymphoma grade II, spleen

C82.18 Follicular lymphoma grade II, lymph nodes of multiple sites

C82.19 Follicular lymphoma grade II, extranodal and solid organ sites

C82.20 Follicular lymphoma grade III, unspecified, unspecified site

C82.21 Follicular lymphoma grade III, unspecified, lymph nodes of head, face, and neck

C82.22 Follicular lymphoma grade III, unspecified, intrathoracic lymph nodes

C82.23 Follicular lymphoma grade III, unspecified, intra-abdominal lymph nodes

C82.24 Follicular lymphoma grade III, unspecified, lymph nodes of axilla and upper limb

C82.25 Follicular lymphoma grade III, unspecified, lymph nodes of inguinal region and lower limb

C82.26 Follicular lymphoma grade III, unspecified, intrapelvic lymph nodes

C82.27 Follicular lymphoma grade III, unspecified, spleen

C82.28 Follicular lymphoma grade III, unspecified, lymph nodes of multiple sites

C82.29 Follicular lymphoma grade III, unspecified, extranodal and solid organ sites

C82.30 Follicular lymphoma grade IIIa, unspecified site

C82.31 Follicular lymphoma grade IIIa, lymph nodes of head, face, and neck

C82.32 Follicular lymphoma grade IIIa, intrathoracic lymph nodes

C82.33 Follicular lymphoma grade IIIa, intra-abdominal lymph nodes

C82.34 Follicular lymphoma grade IIIa, lymph nodes of axilla and upper limb

C82.35 Follicular lymphoma grade IIIa, lymph nodes of inguinal region and lower limb

C82.36 Follicular lymphoma grade IIIa, intrapelvic lymph nodes

C82.37 Follicular lymphoma grade IIIa, spleen

C82.38 Follicular lymphoma grade IIIa, lymph nodes of multiple sites

C82.39 Follicular lymphoma grade IIIa, extranodal and solid organ sites

C82.40 Follicular lymphoma grade IIIb, unspecified site

C82.41 Follicular lymphoma grade IIIb, lymph nodes of head, face, and neck

C82.42 Follicular lymphoma grade IIIb, intrathoracic lymph nodes

C82.43 Follicular lymphoma grade IIIb, intra-abdominal lymph nodes

C82.44 Follicular lymphoma grade IIIb, lymph nodes of axilla and upper limb

C82.45 Follicular lymphoma grade IIIb, lymph nodes of inguinal region and lower limb

C82.46 Follicular lymphoma grade IIIb, intrapelvic lymph nodes

C82.47 Follicular lymphoma grade IIIb, spleen

C82.48 Follicular lymphoma grade IIIb, lymph nodes of multiple sites

C82.49 Follicular lymphoma grade IIIb, extranodal and solid organ sites

C82.50 Diffuse follicle center lymphoma, unspecified site

C82.51 Diffuse follicle center lymphoma, lymph nodes of head, face, and neck

C82.52 Diffuse follicle center lymphoma, intrathoracic lymph nodes

C82.53 Diffuse follicle center lymphoma, intra-abdominal lymph nodes

C82.54 Diffuse follicle center lymphoma, lymph nodes of axilla and upper limb

C82.55 Diffuse follicle center lymphoma, lymph nodes of inguinal region and lower limb

C82.56 Diffuse follicle center lymphoma, intrapelvic lymph nodes

C82.57 Diffuse follicle center lymphoma, spleen

C82.58 Diffuse follicle center lymphoma, lymph nodes of multiple sites

C82.59 Diffuse follicle center lymphoma, extranodal and solid organ sites

C82.60 Cutaneous follicle center lymphoma, unspecified site

C82.61 Cutaneous follicle center lymphoma, lymph nodes of head, face, and neck

C82.62 Cutaneous follicle center lymphoma, intrathoracic lymph nodes

C82.63 Cutaneous follicle center lymphoma, intra-abdominal lymph nodes

C82.64 Cutaneous follicle center lymphoma, lymph nodes of axilla and upper limb

C82.65 Cutaneous follicle center lymphoma, lymph nodes of inguinal region and lower limb

C82.66 Cutaneous follicle center lymphoma, intrapelvic lymph nodes

C82.67 Cutaneous follicle center lymphoma, spleen

C82.68 Cutaneous follicle center lymphoma, lymph nodes of multiple sites

C82.69 Cutaneous follicle center lymphoma, extranodal and solid organ sites

C82.80 Other types of follicular lymphoma, unspecified site

C82.81 Other types of follicular lymphoma, lymph nodes of head, face, and neck

C82.82 Other types of follicular lymphoma, intrathoracic lymph nodes

C82.83 Other types of follicular lymphoma, intra-abdominal lymph nodes

C82.84 Other types of follicular lymphoma, lymph nodes of axilla and upper limb

C82.85 Other types of follicular lymphoma, lymph nodes of inguinal region and lower limb

C82.86 Other types of follicular lymphoma, intrapelvic lymph nodes

C82.87 Other types of follicular lymphoma, spleen

C82.88 Other types of follicular lymphoma, lymph nodes of multiple sites

C82.89 Other types of follicular lymphoma, extranodal and solid organ sites

C82.90 Follicular lymphoma, unspecified, unspecified site

C82.91 Follicular lymphoma, unspecified, lymph nodes of head, face, and neck

C82.92 Follicular lymphoma, unspecified, intrathoracic lymph nodes

C82.93 Follicular lymphoma, unspecified, intra-abdominal lymph nodes

C82.94 Follicular lymphoma, unspecified, lymph nodes of axilla and upper limb

C82.95 Follicular lymphoma, unspecified, lymph nodes of inguinal region and lower limb

C82.96 Follicular lymphoma, unspecified, intrapelvic lymph nodes

C82.97 Follicular lymphoma, unspecified, spleen

C82.98 Follicular lymphoma, unspecified, lymph nodes of multiple sites

C82.99 Follicular lymphoma, unspecified, extranodal and solid organ sites

C83.00 Small cell B-cell lymphoma, unspecified site

C83.01 Small cell B-cell lymphoma, lymph nodes of head, face, and neck

C83.02 Small cell B-cell lymphoma, intrathoracic lymph nodes

C83.03 Small cell B-cell lymphoma, intra-abdominal lymph nodes

C83.04 Small cell B-cell lymphoma, lymph nodes of axilla and upper limb

C83.05 Small cell B-cell lymphoma, lymph nodes of inguinal region and lower limb

C83.06 Small cell B-cell lymphoma, intrapelvic lymph nodes

C83.07 Small cell B-cell lymphoma, spleen

C83.08 Small cell B-cell lymphoma, lymph nodes of multiple sites

C83.09 Small cell B-cell lymphoma, extranodal and solid organ sites

C83.10 Mantle cell lymphoma, unspecified site

C83.11 Mantle cell lymphoma, lymph nodes of head, face, and neck

C83.12 Mantle cell lymphoma, intrathoracic lymph nodes

C83.13 Mantle cell lymphoma, intra-abdominal lymph nodes

C83.14 Mantle cell lymphoma, lymph nodes of axilla and upper limb

C83.15 Mantle cell lymphoma, lymph nodes of inguinal region and lower limb

C83.16 Mantle cell lymphoma, intrapelvic lymph nodes

C83.17 Mantle cell lymphoma, spleen

C83.18 Mantle cell lymphoma, lymph nodes of multiple sites

C83.19 Mantle cell lymphoma, extranodal and solid organ sites

C83.30 Diffuse large B-cell lymphoma, unspecified site

C83.31 Diffuse large B-cell lymphoma, lymph nodes of head, face, and neck

C83.32 Diffuse large B-cell lymphoma, intrathoracic lymph nodes

C83.33 Diffuse large B-cell lymphoma, intra-abdominal lymph nodes

C83.34 Diffuse large B-cell lymphoma, lymph nodes of axilla and upper limb

C83.35 Diffuse large B-cell lymphoma, lymph nodes of inguinal region and lower limb

C83.36 Diffuse large B-cell lymphoma, intrapelvic lymph nodes

C83.37 Diffuse large B-cell lymphoma, spleen

C83.38 Diffuse large B-cell lymphoma, lymph nodes of multiple sites

C83.39 Diffuse large B-cell lymphoma, extranodal and solid organ sites

C83.70 Burkitt lymphoma, unspecified site

C83.71 Burkitt lymphoma, lymph nodes of head, face, and neck

C83.72 Burkitt lymphoma, intrathoracic lymph nodes

C83.73 Burkitt lymphoma, intra-abdominal lymph nodes

C83.74 Burkitt lymphoma, lymph nodes of axilla and upper limb

C83.75 Burkitt lymphoma, lymph nodes of inguinal region and lower limb

C83.76 Burkitt lymphoma, intrapelvic lymph nodes

C83.77 Burkitt lymphoma, spleen

C83.78 Burkitt lymphoma, lymph nodes of multiple sites

C83.79 Burkitt lymphoma, extranodal and solid organ sites

C85.10 Unspecified B-cell lymphoma, unspecified site

C85.11 Unspecified B-cell lymphoma, lymph nodes of head, face, and neck

C85.12 Unspecified B-cell lymphoma, intrathoracic lymph nodes

C85.13 Unspecified B-cell lymphoma, intra-abdominal lymph nodes

C85.14 Unspecified B-cell lymphoma, lymph nodes of axilla and upper limb

C85.15 Unspecified B-cell lymphoma, lymph nodes of inguinal region and lower limb

C85.16 Unspecified B-cell lymphoma, intrapelvic lymph nodes

C85.17 Unspecified B-cell lymphoma, spleen

C85.18 Unspecified B-cell lymphoma, lymph nodes of multiple sites

C85.19 Unspecified B-cell lymphoma, extranodal and solid organ sites

C85.20 Mediastinal (thymic) large B-cell lymphoma, unspecified site

C85.21 Mediastinal (thymic) large B-cell lymphoma, lymph nodes of head, face, and neck

C85.22 Mediastinal (thymic) large B-cell lymphoma, intrathoracic lymph nodes

C85.23 Mediastinal (thymic) large B-cell lymphoma, intra-abdominal lymph nodes

C85.24 Mediastinal (thymic) large B-cell lymphoma, lymph nodes of axilla and upper limb

C85.25 Mediastinal (thymic) large B-cell lymphoma, lymph nodes of inguinal region and lower limb

C85.26 Mediastinal (thymic) large B-cell lymphoma, intrapelvic lymph nodes

C85.27 Mediastinal (thymic) large B-cell lymphoma, spleen

C85.28 Mediastinal (thymic) large B-cell lymphoma, lymph nodes of multiple sites

C85.29 Mediastinal (thymic) large B-cell lymphoma, extranodal and solid organ sites

C88.0 Waldenstrom macroglobulinemia

C88.4 Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue [MALT-lymphoma]

C91.00 Acute lymphoblastic leukemia not having achieved remission

C91.02 Acute lymphoblastic leukemia, in relapse

C91.10 Chronic lymphocytic leukemia of B-cell type not having achieved remission

C91.12 Chronic lymphocytic leukemia of B-cell type in relapse

C91.40 Hairy cell leukemia not having achieved remission

C91.42 Hairy cell leukemia, in relapse

D47.Z1 Post-transplant lymphoproliferative disorder (PTLD)

D47.Z2 Castleman disease

D59.0 Drug-induced autoimmune hemolytic anemia

D59.1 Other autoimmune hemolytic anemias

D60.0 Chronic acquired pure red cell aplasia

D60.1 Transient acquired pure red cell aplasia

D60.8 Other acquired pure red cell aplasias

D60.9 Acquired pure red cell aplasia, unspecified

D61.01 Constitutional (pure) red blood cell aplasia

D69.3 Immune thrombocytopenic purpura

G35 Multiple sclerosis

G36.0 Neuromyelitis optica [Devic]

G70.00 Myasthenia gravis without (acute) exacerbation

G92 Toxic encephalopathy

L10.0 Pemphigus vulgaris

L10.2 Pemphigus foliaceous

L10.81 Paraneoplastic pemphigus

L12.0 Bullous pemphigoid

L12.1 Cicatricial pemphigoid

L12.30 Acquired epidermolysis bullosa, unspecified

L94.0 Localized scleroderma [morphea]

L94.1 Linear scleroderma

M05.00 Felty's syndrome, unspecified site

M05.011 Felty's syndrome, right shoulder

M05.012 Felty's syndrome, left shoulder

M05.019 Felty's syndrome, unspecified shoulder

M05.021 Felty's syndrome, right elbow

M05.022 Felty's syndrome, left elbow

M05.029 Felty's syndrome, unspecified elbow

M05.031 Felty's syndrome, right wrist

M05.032 Felty's syndrome, left wrist

M05.039 Felty's syndrome, unspecified wrist

M05.041 Felty's syndrome, right hand

M05.042 Felty's syndrome, left hand

M05.049 Felty's syndrome, unspecified hand

M05.051 Felty's syndrome, right hip

M05.052 Felty's syndrome, left hip

M05.059 Felty's syndrome, unspecified hip

M05.061 Felty's syndrome, right knee

M05.062 Felty's syndrome, left knee

M05.069 Felty's syndrome, unspecified knee

M05.071 Felty's syndrome, right ankle and foot

M05.072 Felty's syndrome, left ankle and foot

M05.079 Felty's syndrome, unspecified ankle and foot

M05.09 Felty's syndrome, multiple sites

M05.10 Rheumatoid lung disease with rheumatoid arthritis of unspecified site

M05.111 Rheumatoid lung disease with rheumatoid arthritis of right shoulder

M05.112 Rheumatoid lung disease with rheumatoid arthritis of left shoulder

M05.119 Rheumatoid lung disease with rheumatoid arthritis of unspecified shoulder

M05.121 Rheumatoid lung disease with rheumatoid arthritis of right elbow

M05.122 Rheumatoid lung disease with rheumatoid arthritis of left elbow

M05.129 Rheumatoid lung disease with rheumatoid arthritis of unspecified elbow

M05.131 Rheumatoid lung disease with rheumatoid arthritis of right wrist

M05.132 Rheumatoid lung disease with rheumatoid arthritis of left wrist

M05.139 Rheumatoid lung disease with rheumatoid arthritis of unspecified wrist

M05.141 Rheumatoid lung disease with rheumatoid arthritis of right hand

M05.142 Rheumatoid lung disease with rheumatoid arthritis of left hand

M05.149 Rheumatoid lung disease with rheumatoid arthritis of unspecified hand

M05.151 Rheumatoid lung disease with rheumatoid arthritis of right hip

M05.152 Rheumatoid lung disease with rheumatoid arthritis of left hip

M05.159 Rheumatoid lung disease with rheumatoid arthritis of unspecified hip

M05.161 Rheumatoid lung disease with rheumatoid arthritis of right knee

M05.162 Rheumatoid lung disease with rheumatoid arthritis of left knee

M05.169 Rheumatoid lung disease with rheumatoid arthritis of unspecified knee

M05.171 Rheumatoid lung disease with rheumatoid arthritis of right ankle and foot

M05.172 Rheumatoid lung disease with rheumatoid arthritis of left ankle and foot

M05.179 Rheumatoid lung disease with rheumatoid arthritis of unspecified ankle and foot

M05.19 Rheumatoid lung disease with rheumatoid arthritis of multiple sites

M05.20 Rheumatoid vasculitis with rheumatoid arthritis of unspecified site

M05.211 Rheumatoid vasculitis with rheumatoid arthritis of right shoulder

M05.212 Rheumatoid vasculitis with rheumatoid arthritis of left shoulder

M05.219 Rheumatoid vasculitis with rheumatoid arthritis of unspecified shoulder

M05.221 Rheumatoid vasculitis with rheumatoid arthritis of right elbow

M05.222 Rheumatoid vasculitis with rheumatoid arthritis of left elbow

M05.229 Rheumatoid vasculitis with rheumatoid arthritis of unspecified elbow

M05.231 Rheumatoid vasculitis with rheumatoid arthritis of right wrist

M05.232 Rheumatoid vasculitis with rheumatoid arthritis of left wrist

M05.239 Rheumatoid vasculitis with rheumatoid arthritis of unspecified wrist

M05.241 Rheumatoid vasculitis with rheumatoid arthritis of right hand

M05.242 Rheumatoid vasculitis with rheumatoid arthritis of left hand

M05.249 Rheumatoid vasculitis with rheumatoid arthritis of unspecified hand

M05.251 Rheumatoid vasculitis with rheumatoid arthritis of right hip

M05.252 Rheumatoid vasculitis with rheumatoid arthritis of left hip

M05.259 Rheumatoid vasculitis with rheumatoid arthritis of unspecified hip

M05.261 Rheumatoid vasculitis with rheumatoid arthritis of right knee

M05.262 Rheumatoid vasculitis with rheumatoid arthritis of left knee

M05.269 Rheumatoid vasculitis with rheumatoid arthritis of unspecified knee

M05.271 Rheumatoid vasculitis with rheumatoid arthritis of right ankle and foot

M05.272 Rheumatoid vasculitis with rheumatoid arthritis of left ankle and foot

M05.279 Rheumatoid vasculitis with rheumatoid arthritis of unspecified ankle and foot

M05.29 Rheumatoid vasculitis with rheumatoid arthritis of multiple sites

M05.30 Rheumatoid heart disease with rheumatoid arthritis of unspecified site

M05.311 Rheumatoid heart disease with rheumatoid arthritis of right shoulder

M05.312 Rheumatoid heart disease with rheumatoid arthritis of left shoulder

M05.319 Rheumatoid heart disease with rheumatoid arthritis of unspecified shoulder

M05.321 Rheumatoid heart disease with rheumatoid arthritis of right elbow

M05.322 Rheumatoid heart disease with rheumatoid arthritis of left elbow

M05.329 Rheumatoid heart disease with rheumatoid arthritis of unspecified elbow

M05.331 Rheumatoid heart disease with rheumatoid arthritis of right wrist

M05.332 Rheumatoid heart disease with rheumatoid arthritis of left wrist

M05.339 Rheumatoid heart disease with rheumatoid arthritis of unspecified wrist

M05.341 Rheumatoid heart disease with rheumatoid arthritis of right hand

M05.342 Rheumatoid heart disease with rheumatoid arthritis of left hand

M05.349 Rheumatoid heart disease with rheumatoid arthritis of unspecified hand

M05.351 Rheumatoid heart disease with rheumatoid arthritis of right hip

M05.352 Rheumatoid heart disease with rheumatoid arthritis of left hip

M05.359 Rheumatoid heart disease with rheumatoid arthritis of unspecified hip

M05.361 Rheumatoid heart disease with rheumatoid arthritis of right knee

M05.362 Rheumatoid heart disease with rheumatoid arthritis of left knee

M05.369 Rheumatoid heart disease with rheumatoid arthritis of unspecified knee

M05.371 Rheumatoid heart disease with rheumatoid arthritis of right ankle and foot

M05.372 Rheumatoid heart disease with rheumatoid arthritis of left ankle and foot

M05.379 Rheumatoid heart disease with rheumatoid arthritis of unspecified ankle and foot

M05.39 Rheumatoid heart disease with rheumatoid arthritis of multiple sites

M05.40 Rheumatoid myopathy with rheumatoid arthritis of unspecified site

M05.411 Rheumatoid myopathy with rheumatoid arthritis of right shoulder

M05.412 Rheumatoid myopathy with rheumatoid arthritis of left shoulder

M05.419 Rheumatoid myopathy with rheumatoid arthritis of unspecified shoulder

M05.421 Rheumatoid myopathy with rheumatoid arthritis of right elbow

M05.422 Rheumatoid myopathy with rheumatoid arthritis of left elbow

M05.429 Rheumatoid myopathy with rheumatoid arthritis of unspecified elbow

M05.431 Rheumatoid myopathy with rheumatoid arthritis of right wrist

M05.432 Rheumatoid myopathy with rheumatoid arthritis of left wrist

M05.439 Rheumatoid myopathy with rheumatoid arthritis of unspecified wrist

M05.441 Rheumatoid myopathy with rheumatoid arthritis of right hand

M05.442 Rheumatoid myopathy with rheumatoid arthritis of left hand

M05.449 Rheumatoid myopathy with rheumatoid arthritis of unspecified hand

M05.451 Rheumatoid myopathy with rheumatoid arthritis of right hip

M05.452 Rheumatoid myopathy with rheumatoid arthritis of left hip

M05.459 Rheumatoid myopathy with rheumatoid arthritis of unspecified hip

M05.461 Rheumatoid myopathy with rheumatoid arthritis of right knee

M05.462 Rheumatoid myopathy with rheumatoid arthritis of left knee

M05.469 Rheumatoid myopathy with rheumatoid arthritis of unspecified knee

M05.471 Rheumatoid myopathy with rheumatoid arthritis of right ankle and foot

M05.472 Rheumatoid myopathy with rheumatoid arthritis of left ankle and foot

M05.479 Rheumatoid myopathy with rheumatoid arthritis of unspecified ankle and foot

M05.49 Rheumatoid myopathy with rheumatoid arthritis of multiple sites

M05.50 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified site

M05.511 Rheumatoid polyneuropathy with rheumatoid arthritis of right shoulder

M05.512 Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder

M05.519 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified shoulder

M05.521 Rheumatoid polyneuropathy with rheumatoid arthritis of right elbow

M05.522 Rheumatoid polyneuropathy with rheumatoid arthritis of left elbow

M05.529 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified elbow

M05.531 Rheumatoid polyneuropathy with rheumatoid arthritis of right wrist

M05.532 Rheumatoid polyneuropathy with rheumatoid arthritis of left wrist

M05.539 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified wrist

M05.541 Rheumatoid polyneuropathy with rheumatoid arthritis of right hand

M05.542 Rheumatoid polyneuropathy with rheumatoid arthritis of left hand

M05.549 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified hand

M05.551 Rheumatoid polyneuropathy with rheumatoid arthritis of right hip

M05.552 Rheumatoid polyneuropathy with rheumatoid arthritis of left hip

M05.559 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified hip

M05.561 Rheumatoid polyneuropathy with rheumatoid arthritis of right knee

M05.562 Rheumatoid polyneuropathy with rheumatoid arthritis of left knee

M05.569 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified knee

M05.571 Rheumatoid polyneuropathy with rheumatoid arthritis of right ankle and foot

M05.572 Rheumatoid polyneuropathy with rheumatoid arthritis of left ankle and foot

M05.579 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified ankle and foot

M05.59 Rheumatoid polyneuropathy with rheumatoid arthritis of multiple sites

M05.60 Rheumatoid arthritis of unspecified site with involvement of other organs and systems

M05.611 Rheumatoid arthritis of right shoulder with involvement of other organs and systems

M05.612 Rheumatoid arthritis of left shoulder with involvement of other organs and systems

M05.619 Rheumatoid arthritis of unspecified shoulder with involvement of other organs and systems

M05.621 Rheumatoid arthritis of right elbow with involvement of other organs and systems

M05.622 Rheumatoid arthritis of left elbow with involvement of other organs and systems

M05.629 Rheumatoid arthritis of unspecified elbow with involvement of other organs and systems

M05.631 Rheumatoid arthritis of right wrist with involvement of other organs and systems

M05.632 Rheumatoid arthritis of left wrist with involvement of other organs and systems

M05.639 Rheumatoid arthritis of unspecified wrist with involvement of other organs and systems

M05.641 Rheumatoid arthritis of right hand with involvement of other organs and systems

M05.642 Rheumatoid arthritis of left hand with involvement of other organs and systems

M05.649 Rheumatoid arthritis of unspecified hand with involvement of other organs and systems

M05.651 Rheumatoid arthritis of right hip with involvement of other organs and systems

M05.652 Rheumatoid arthritis of left hip with involvement of other organs and systems

M05.659 Rheumatoid arthritis of unspecified hip with involvement of other organs and systems

M05.661 Rheumatoid arthritis of right knee with involvement of other organs and systems

M05.662 Rheumatoid arthritis of left knee with involvement of other organs and systems

M05.669 Rheumatoid arthritis of unspecified knee with involvement of other organs and systems

M05.671 Rheumatoid arthritis of right ankle and foot with involvement of other organs and systems

M05.672 Rheumatoid arthritis of left ankle and foot with involvement of other organs and systems

M05.679 Rheumatoid arthritis of unspecified ankle and foot with involvement of other organs and systems

M05.69 Rheumatoid arthritis of multiple sites with involvement of other organs and systems

M05.70 Rheumatoid arthritis with rheumatoid factor of unspecified site without organ or systems involvement

M05.711 Rheumatoid arthritis with rheumatoid factor of right shoulder without organ or systems involvement

M05.712 Rheumatoid arthritis with rheumatoid factor of left shoulder without organ or systems involvement

M05.719 Rheumatoid arthritis with rheumatoid factor of unspecified shoulder without organ or systems involvement

M05.721 Rheumatoid arthritis with rheumatoid factor of right elbow without organ or systems involvement

M05.722 Rheumatoid arthritis with rheumatoid factor of left elbow without organ or systems involvement

M05.729 Rheumatoid arthritis with rheumatoid factor of unspecified elbow without organ or systems involvement

M05.731 Rheumatoid arthritis with rheumatoid factor of right wrist without organ or systems involvement

M05.732 Rheumatoid arthritis with rheumatoid factor of left wrist without organ or systems involvement

M05.739 Rheumatoid arthritis with rheumatoid factor of unspecified wrist without organ or systems involvement

M05.741 Rheumatoid arthritis with rheumatoid factor of right hand without organ or systems involvement

M05.742 Rheumatoid arthritis with rheumatoid factor of left hand without organ or systems involvement

M05.749 Rheumatoid arthritis with rheumatoid factor of unspecified hand without organ or systems involvement

M05.751 Rheumatoid arthritis with rheumatoid factor of right hip without organ or systems involvement

M05.752 Rheumatoid arthritis with rheumatoid factor of left hip without organ or systems involvement

M05.759 Rheumatoid arthritis with rheumatoid factor of unspecified hip without organ or systems involvement

M05.761 Rheumatoid arthritis with rheumatoid factor of right knee without organ or systems involvement

M05.762 Rheumatoid arthritis with rheumatoid factor of left knee without organ or systems involvement

M05.769 Rheumatoid arthritis with rheumatoid factor of unspecified knee without organ or systems involvement

M05.771 Rheumatoid arthritis with rheumatoid factor of right ankle and foot without organ or systems involvement

M05.772 Rheumatoid arthritis with rheumatoid factor of left ankle and foot without organ or systems involvement

M05.779 Rheumatoid arthritis with rheumatoid factor of unspecified ankle and foot without organ or systems involvement

M05.79 Rheumatoid arthritis with rheumatoid factor of multiple sites without organ or systems involvement

M05.80 Other rheumatoid arthritis with rheumatoid factor of unspecified site

M05.811 Other rheumatoid arthritis with rheumatoid factor of right shoulder

M05.812 Other rheumatoid arthritis with rheumatoid factor of left shoulder

M05.819 Other rheumatoid arthritis with rheumatoid factor of unspecified shoulder

M05.821 Other rheumatoid arthritis with rheumatoid factor of right elbow

M05.822 Other rheumatoid arthritis with rheumatoid factor of left elbow

M05.829 Other rheumatoid arthritis with rheumatoid factor of unspecified elbow

M05.831 Other rheumatoid arthritis with rheumatoid factor of right wrist

M05.832 Other rheumatoid arthritis with rheumatoid factor of left wrist

M05.839 Other rheumatoid arthritis with rheumatoid factor of unspecified wrist

M05.841 Other rheumatoid arthritis with rheumatoid factor of right hand

M05.842 Other rheumatoid arthritis with rheumatoid factor of left hand

M05.849 Other rheumatoid arthritis with rheumatoid factor of unspecified hand

M05.851 Other rheumatoid arthritis with rheumatoid factor of right hip

M05.852 Other rheumatoid arthritis with rheumatoid factor of left hip

M05.859 Other rheumatoid arthritis with rheumatoid factor of unspecified hip

M05.861 Other rheumatoid arthritis with rheumatoid factor of right knee

M05.862 Other rheumatoid arthritis with rheumatoid factor of left knee

M05.869 Other rheumatoid arthritis with rheumatoid factor of unspecified knee

M05.871 Other rheumatoid arthritis with rheumatoid factor of right ankle and foot

M05.872 Other rheumatoid arthritis with rheumatoid factor of left ankle and foot

M05.879 Other rheumatoid arthritis with rheumatoid factor of unspecified ankle and foot

M05.89 Other rheumatoid arthritis with rheumatoid factor of multiple sites

M05.9 Rheumatoid arthritis with rheumatoid factor, unspecified

M06.00 Rheumatoid arthritis without rheumatoid factor, unspecified site

M06.011 Rheumatoid arthritis without rheumatoid factor, right shoulder

M06.012 Rheumatoid arthritis without rheumatoid factor, left shoulder

M06.019 Rheumatoid arthritis without rheumatoid factor, unspecified shoulder

M06.021 Rheumatoid arthritis without rheumatoid factor, right elbow

M06.022 Rheumatoid arthritis without rheumatoid factor, left elbow

M06.029 Rheumatoid arthritis without rheumatoid factor, unspecified elbow

M06.031 Rheumatoid arthritis without rheumatoid factor, right wrist

M06.032 Rheumatoid arthritis without rheumatoid factor, left wrist

M06.039 Rheumatoid arthritis without rheumatoid factor, unspecified wrist

M06.041 Rheumatoid arthritis without rheumatoid factor, right hand

M06.042 Rheumatoid arthritis without rheumatoid factor, left hand

M06.049 Rheumatoid arthritis without rheumatoid factor, unspecified hand

M06.051 Rheumatoid arthritis without rheumatoid factor, right hip

M06.052 Rheumatoid arthritis without rheumatoid factor, left hip

M06.059 Rheumatoid arthritis without rheumatoid factor, unspecified hip

M06.061 Rheumatoid arthritis without rheumatoid factor, right knee

M06.062 Rheumatoid arthritis without rheumatoid factor, left knee

M06.069 Rheumatoid arthritis without rheumatoid factor, unspecified knee

M06.071 Rheumatoid arthritis without rheumatoid factor, right ankle and foot

M06.072 Rheumatoid arthritis without rheumatoid factor, left ankle and foot

M06.079 Rheumatoid arthritis without rheumatoid factor, unspecified ankle and foot

M06.08 Rheumatoid arthritis without rheumatoid factor, vertebrae

M06.09 Rheumatoid arthritis without rheumatoid factor, multiple sites

M06.1 Adult-onset Still's disease

M06.80 Other specified rheumatoid arthritis, unspecified site

M06.811 Other specified rheumatoid arthritis, right shoulder

M06.812 Other specified rheumatoid arthritis, left shoulder

M06.819 Other specified rheumatoid arthritis, unspecified shoulder

M06.821 Other specified rheumatoid arthritis, right elbow

M06.822 Other specified rheumatoid arthritis, left elbow

M06.829 Other specified rheumatoid arthritis, unspecified elbow

M06.831 Other specified rheumatoid arthritis, right wrist

M06.832 Other specified rheumatoid arthritis, left wrist

M06.839 Other specified rheumatoid arthritis, unspecified wrist

M06.841 Other specified rheumatoid arthritis, right hand

M06.842 Other specified rheumatoid arthritis, left hand

M06.849 Other specified rheumatoid arthritis, unspecified hand

M06.851 Other specified rheumatoid arthritis, right hip

M06.852 Other specified rheumatoid arthritis, left hip

M06.859 Other specified rheumatoid arthritis, unspecified hip

M06.861 Other specified rheumatoid arthritis, right knee

M06.862 Other specified rheumatoid arthritis, left knee

M06.869 Other specified rheumatoid arthritis, unspecified knee

M06.871 Other specified rheumatoid arthritis, right ankle and foot

M06.872 Other specified rheumatoid arthritis, left ankle and foot

M06.879 Other specified rheumatoid arthritis, unspecified ankle and foot

M06.88 Other specified rheumatoid arthritis, vertebrae

M06.89 Other specified rheumatoid arthritis, multiple sites

M06.9 Rheumatoid arthritis, unspecified

M30.1 Polyarteritis with lung involvement [Churg-Strauss]

M31.1 Thrombotic microangiopathy

M31.30 Wegener's granulomatosis without renal involvement

M31.31 Wegener's granulomatosis with renal involvement

M31.7 Microscopic polyangiitis

M32.14 Glomerular disease in systemic lupus erythematosus

M34.9 Systemic sclerosis, unspecified

M35.00 Sicca syndrome, unspecified

M35.01 Sicca syndrome with keratoconjunctivitis

M35.02 Sicca syndrome with lung involvement

M35.03 Sicca syndrome with myopathy

M35.04 Sicca syndrome with tubulo-interstitial nephropathy

M35.09 Sicca syndrome with other organ involvement

N01.0 Rapidly progressive nephritic syndrome with minor glomerular abnormality

N01.2 Rapidly progressive nephritic syndrome with diffuse membranous glomerulonephritis

N01.3 Rapidly progressive nephritic syndrome with diffuse mesangial proliferative glomerulonephritis

N01.4 Rapidly progressive nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis

N01.5 Rapidly progressive nephritic syndrome with diffuse mesangiocapillary glomerulonephritis

N01.6 Rapidly progressive nephritic syndrome with dense deposit disease

N01.7 Rapidly progressive nephritic syndrome with diffuse crescentic glomerulonephritis

N01.8 Rapidly progressive nephritic syndrome with other morphologic changes

N01.9 Rapidly progressive nephritic syndrome with unspecified morphologic changes

N04.2 Nephrotic syndrome with diffuse membranous glomerulonephritis

N04.3 Nephrotic syndrome with diffuse mesangial proliferative glomerulonephritis

N04.4 Nephrotic syndrome with diffuse endocapillary proliferative glomerulonephritis

N04.5 Nephrotic syndrome with diffuse mesangiocapillary glomerulonephritis

N04.6 Nephrotic syndrome with dense deposit disease

N04.7 Nephrotic syndrome with diffuse crescentic glomerulonephritis

N04.8 Nephrotic syndrome with other morphologic changes

N04.9 Nephrotic syndrome with unspecified morphologic changes

N05.0 Unspecified nephritic syndrome with minor glomerular abnormality

N05.2 Unspecified nephritic syndrome with diffuse membranous glomerulonephritis

N05.3 Unspecified nephritic syndrome with diffuse mesangial proliferative glomerulonephritis

N05.4 Unspecified nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis

N05.5 Unspecified nephritic syndrome with diffuse mesangiocapillary glomerulonephritis

N05.6 Unspecified nephritic syndrome with dense deposit disease

N05.7 Unspecified nephritic syndrome with diffuse crescentic glomerulonephritis

N05.8 Unspecified nephritic syndrome with other morphologic changes

N05.9 Unspecified nephritic syndrome with unspecified morphologic changes

T86.11 Kidney transplant rejection

T86.21 Heart transplant rejection

T86.31 Heart-lung transplant rejection

RITUXIMAB AND HYALURONIDASE HUMAN (RITUXAN HYCELA) FOR SUBCUTANEOUS INJECTION IS MEDICALLY NECESSARY WHEN REPORTED WITH THE FOLLOWING DIAGNOSIS CODES:

C81.00 Nodular lymphocyte predominant Hodgkin lymphoma, unspecified site

C81.01 Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of head, face, and neck

C81.02 Nodular lymphocyte predominant Hodgkin lymphoma, intrathoracic lymph nodes

C81.03 Nodular lymphocyte predominant Hodgkin lymphoma, intra-abdominal lymph nodes

C81.04 Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of axilla and upper limb

C81.05 Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of inguinal region and lower limb

C81.06 Nodular lymphocyte predominant Hodgkin lymphoma, intrapelvic lymph nodes

C81.07 Nodular lymphocyte predominant Hodgkin lymphoma, spleen

C81.08 Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of multiple sites

C81.09 Nodular lymphocyte predominant Hodgkin lymphoma, extranodal and solid organ sites

C81.70 Other Hodgkin lymphoma, unspecified site

C81.71 Other Hodgkin lymphoma, lymph nodes of head, face, and neck

C81.72 Other Hodgkin lymphoma, intrathoracic lymph nodes

C81.73 Other Hodgkin lymphoma, intra-abdominal lymph nodes

C81.74 Other Hodgkin lymphoma, lymph nodes of axilla and upper limb

C81.75 Other Hodgkin lymphoma, lymph nodes of inguinal region and lower limb

C81.76 Other Hodgkin lymphoma, intrapelvic lymph nodes

C81.77 Other Hodgkin lymphoma, spleen

C81.78 Other Hodgkin lymphoma, lymph nodes of multiple sites

C81.79 Other Hodgkin lymphoma, extranodal and solid organ sites

C82.00 Follicular lymphoma grade I, unspecified site

C82.01 Follicular lymphoma grade I, lymph nodes of head, face, and neck

C82.02 Follicular lymphoma grade I, intrathoracic lymph nodes

C82.03 Follicular lymphoma grade I, intra-abdominal lymph nodes

C82.04 Follicular lymphoma grade I, lymph nodes of axilla and upper limb

C82.05 Follicular lymphoma grade I, lymph nodes of inguinal region and lower limb

C82.06 Follicular lymphoma grade I, intrapelvic lymph nodes

C82.07 Follicular lymphoma grade I, spleen

C82.08 Follicular lymphoma grade I, lymph nodes of multiple sites

C82.09 Follicular lymphoma grade I, extranodal and solid organ sites

C82.10 Follicular lymphoma grade II, unspecified site

C82.11 Follicular lymphoma grade II, lymph nodes of head, face, and neck

C82.12 Follicular lymphoma grade II, intrathoracic lymph nodes

C82.13 Follicular lymphoma grade II, intra-abdominal lymph nodes

C82.14 Follicular lymphoma grade II, lymph nodes of axilla and upper limb

C82.15 Follicular lymphoma grade II, lymph nodes of inguinal region and lower limb

C82.16 Follicular lymphoma grade II, intrapelvic lymph nodes

C82.17 Follicular lymphoma grade II, spleen

C82.18 Follicular lymphoma grade II, lymph nodes of multiple sites

C82.19 Follicular lymphoma grade II, extranodal and solid organ sites

C82.20 Follicular lymphoma grade III, unspecified, unspecified site

C82.21 Follicular lymphoma grade III, unspecified, lymph nodes of head, face, and neck

C82.22 Follicular lymphoma grade III, unspecified, intrathoracic lymph nodes

C82.23 Follicular lymphoma grade III, unspecified, intra-abdominal lymph nodes

C82.24 Follicular lymphoma grade III, unspecified, lymph nodes of axilla and upper limb

C82.25 Follicular lymphoma grade III, unspecified, lymph nodes of inguinal region and lower limb

C82.26 Follicular lymphoma grade III, unspecified, intrapelvic lymph nodes

C82.27 Follicular lymphoma grade III, unspecified, spleen

C82.28 Follicular lymphoma grade III, unspecified, lymph nodes of multiple sites

C82.29 Follicular lymphoma grade III, unspecified, extranodal and solid organ sites

C82.30 Follicular lymphoma grade IIIa, unspecified site

C82.31 Follicular lymphoma grade IIIa, lymph nodes of head, face, and neck

C82.32 Follicular lymphoma grade IIIa, intrathoracic lymph nodes

C82.33 Follicular lymphoma grade IIIa, intra-abdominal lymph nodes

C82.34 Follicular lymphoma grade IIIa, lymph nodes of axilla and upper limb

C82.35 Follicular lymphoma grade IIIa, lymph nodes of inguinal region and lower limb

C82.36 Follicular lymphoma grade IIIa, intrapelvic lymph nodes

C82.37 Follicular lymphoma grade IIIa, spleen

C82.38 Follicular lymphoma grade IIIa, lymph nodes of multiple sites

C82.39 Follicular lymphoma grade IIIa, extranodal and solid organ sites

C82.40 Follicular lymphoma grade IIIb, unspecified site

C82.41 Follicular lymphoma grade IIIb, lymph nodes of head, face, and neck

C82.42 Follicular lymphoma grade IIIb, intrathoracic lymph nodes

C82.43 Follicular lymphoma grade IIIb, intra-abdominal lymph nodes

C82.44 Follicular lymphoma grade IIIb, lymph nodes of axilla and upper limb

C82.45 Follicular lymphoma grade IIIb, lymph nodes of inguinal region and lower limb

C82.46 Follicular lymphoma grade IIIb, intrapelvic lymph nodes

C82.47 Follicular lymphoma grade IIIb, spleen

C82.48 Follicular lymphoma grade IIIb, lymph nodes of multiple sites

C82.49 Follicular lymphoma grade IIIb, extranodal and solid organ sites

C82.50 Diffuse follicle center lymphoma, unspecified site

C82.51 Diffuse follicle center lymphoma, lymph nodes of head, face, and neck

C82.52 Diffuse follicle center lymphoma, intrathoracic lymph nodes

C82.53 Diffuse follicle center lymphoma, intra-abdominal lymph nodes

C82.54 Diffuse follicle center lymphoma, lymph nodes of axilla and upper limb

C82.55 Diffuse follicle center lymphoma, lymph nodes of inguinal region and lower limb

C82.56 Diffuse follicle center lymphoma, intrapelvic lymph nodes

C82.57 Diffuse follicle center lymphoma, spleen

C82.58 Diffuse follicle center lymphoma, lymph nodes of multiple sites

C82.59 Diffuse follicle center lymphoma, extranodal and solid organ sites

C82.60 Cutaneous follicle center lymphoma, unspecified site

C82.61 Cutaneous follicle center lymphoma, lymph nodes of head, face, and neck

C82.62 Cutaneous follicle center lymphoma, intrathoracic lymph nodes

C82.63 Cutaneous follicle center lymphoma, intra-abdominal lymph nodes

C82.64 Cutaneous follicle center lymphoma, lymph nodes of axilla and upper limb

C82.65 Cutaneous follicle center lymphoma, lymph nodes of inguinal region and lower limb

C82.66 Cutaneous follicle center lymphoma, intrapelvic lymph nodes

C82.67 Cutaneous follicle center lymphoma, spleen

C82.68 Cutaneous follicle center lymphoma, lymph nodes of multiple sites

C82.69 Cutaneous follicle center lymphoma, extranodal and solid organ sites

C82.80 Other types of follicular lymphoma, unspecified site

C82.81 Other types of follicular lymphoma, lymph nodes of head, face, and neck

C82.82 Other types of follicular lymphoma, intrathoracic lymph nodes

C82.83 Other types of follicular lymphoma, intra-abdominal lymph nodes

C82.84 Other types of follicular lymphoma, lymph nodes of axilla and upper limb

C82.85 Other types of follicular lymphoma, lymph nodes of inguinal region and lower limb

C82.86 Other types of follicular lymphoma, intrapelvic lymph nodes

C82.87 Other types of follicular lymphoma, spleen

C82.88 Other types of follicular lymphoma, lymph nodes of multiple sites

C82.89 Other types of follicular lymphoma, extranodal and solid organ sites

C82.90 Follicular lymphoma, unspecified, unspecified site

C82.91 Follicular lymphoma, unspecified, lymph nodes of head, face, and neck

C82.92 Follicular lymphoma, unspecified, intrathoracic lymph nodes

C82.93 Follicular lymphoma, unspecified, intra-abdominal lymph nodes

C82.94 Follicular lymphoma, unspecified, lymph nodes of axilla and upper limb

C82.95 Follicular lymphoma, unspecified, lymph nodes of inguinal region and lower limb

C82.96 Follicular lymphoma, unspecified, intrapelvic lymph nodes

C82.97 Follicular lymphoma, unspecified, spleen

C82.98 Follicular lymphoma, unspecified, lymph nodes of multiple sites

C82.99 Follicular lymphoma, unspecified, extranodal and solid organ sites

C83.00 Small cell B-cell lymphoma, unspecified site

C83.01 Small cell B-cell lymphoma, lymph nodes of head, face, and neck

C83.02 Small cell B-cell lymphoma, intrathoracic lymph nodes

C83.03 Small cell B-cell lymphoma, intra-abdominal lymph nodes

C83.04 Small cell B-cell lymphoma, lymph nodes of axilla and upper limb

C83.05 Small cell B-cell lymphoma, lymph nodes of inguinal region and lower limb

C83.06 Small cell B-cell lymphoma, intrapelvic lymph nodes

C83.07 Small cell B-cell lymphoma, spleen

C83.08 Small cell B-cell lymphoma, lymph nodes of multiple sites

C83.09 Small cell B-cell lymphoma, extranodal and solid organ sites

C83.10 Mantle cell lymphoma, unspecified site

C83.11 Mantle cell lymphoma, lymph nodes of head, face, and neck

C83.12 Mantle cell lymphoma, intrathoracic lymph nodes

C83.13 Mantle cell lymphoma, intra-abdominal lymph nodes

C83.14 Mantle cell lymphoma, lymph nodes of axilla and upper limb

C83.15 Mantle cell lymphoma, lymph nodes of inguinal region and lower limb

C83.16 Mantle cell lymphoma, intrapelvic lymph nodes

C83.17 Mantle cell lymphoma, spleen

C83.18 Mantle cell lymphoma, lymph nodes of multiple sites

C83.19 Mantle cell lymphoma, extranodal and solid organ sites

C83.30 Diffuse large B-cell lymphoma, unspecified site

C83.31 Diffuse large B-cell lymphoma, lymph nodes of head, face, and neck

C83.32 Diffuse large B-cell lymphoma, intrathoracic lymph nodes

C83.33 Diffuse large B-cell lymphoma, intra-abdominal lymph nodes

C83.34 Diffuse large B-cell lymphoma, lymph nodes of axilla and upper limb

C83.35 Diffuse large B-cell lymphoma, lymph nodes of inguinal region and lower limb

C83.36 Diffuse large B-cell lymphoma, intrapelvic lymph nodes

C83.37 Diffuse large B-cell lymphoma, spleen

C83.38 Diffuse large B-cell lymphoma, lymph nodes of multiple sites

C83.39 Diffuse large B-cell lymphoma, extranodal and solid organ sites

C83.70 Burkitt lymphoma, unspecified site

C83.71 Burkitt lymphoma, lymph nodes of head, face, and neck

C83.72 Burkitt lymphoma, intrathoracic lymph nodes

C83.73 Burkitt lymphoma, intra-abdominal lymph nodes

C83.74 Burkitt lymphoma, lymph nodes of axilla and upper limb

C83.75 Burkitt lymphoma, lymph nodes of inguinal region and lower limb

C83.76 Burkitt lymphoma, intrapelvic lymph nodes

C83.77 Burkitt lymphoma, spleen

C83.78 Burkitt lymphoma, lymph nodes of multiple sites

C83.79 Burkitt lymphoma, extranodal and solid organ sites

C85.10 Unspecified B-cell lymphoma, unspecified site

C85.11 Unspecified B-cell lymphoma, lymph nodes of head, face, and neck

C85.12 Unspecified B-cell lymphoma, intrathoracic lymph nodes

C85.13 Unspecified B-cell lymphoma, intra-abdominal lymph nodes

C85.14 Unspecified B-cell lymphoma, lymph nodes of axilla and upper limb

C85.15 Unspecified B-cell lymphoma, lymph nodes of inguinal region and lower limb

C85.16 Unspecified B-cell lymphoma, intrapelvic lymph nodes

C85.17 Unspecified B-cell lymphoma, spleen

C85.18 Unspecified B-cell lymphoma, lymph nodes of multiple sites

C85.19 Unspecified B-cell lymphoma, extranodal and solid organ sites

C85.20 Mediastinal (thymic) large B-cell lymphoma, unspecified site

C85.21 Mediastinal (thymic) large B-cell lymphoma, lymph nodes of head, face, and neck

C85.22 Mediastinal (thymic) large B-cell lymphoma, intrathoracic lymph nodes

C85.23 Mediastinal (thymic) large B-cell lymphoma, intra-abdominal lymph nodes

C85.24 Mediastinal (thymic) large B-cell lymphoma, lymph nodes of axilla and upper limb

C85.25 Mediastinal (thymic) large B-cell lymphoma, lymph nodes of inguinal region and lower limb

C85.26 Mediastinal (thymic) large B-cell lymphoma, intrapelvic lymph nodes

C85.27 Mediastinal (thymic) large B-cell lymphoma, spleen

C85.28 Mediastinal (thymic) large B-cell lymphoma, lymph nodes of multiple sites

C85.29 Mediastinal (thymic) large B-cell lymphoma, extranodal and solid organ sites

C88.4 Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue [MALT-lymphoma]

C91.10 Chronic lymphocytic leukemia of B-cell type not having achieved remission

C91.12 Chronic lymphocytic leukemia of B-cell type in relapse

D47.Z1 Post-transplant lymphoproliferative disorder (PTLD)

D47.Z2 Castleman disease

Version Effective Date: 07/01/2019
Version Issued Date: 07/01/2019
Version Reissued Date: N/A

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