ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 C86.1

Non-Billable Header

Hepatosplenic T-cell lymphoma

C86
Block
1
Synonyms
241
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM C86.1

ICD-10-CM code C86.1 represents Hepatosplenic T-cell lymphoma. This is a non-billable header code in the chapter (block C86). The 2026 edition of ICD-10-CM C86.1 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under C86.1. Per CMS ICD-10-CM Tabular 2026.

  • Alpha-beta and gamma delta types

Medicare LCD Coverage for C86.1

Local Coverage Determinations (LCDs) from CMS MACs that list C86.1 as a covered diagnosis.

241 LCDs

Showing top 10 of 241 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Genetic Testing for Oncology
Article ID: 59491, Effective: , 845 covered, 0 non-covered
CPT 0132U →
CMS LCD: Billing and Coding: Genetic Testing for Oncology
Article ID: 59491, Effective: , 845 covered, 0 non-covered
CPT 81316 →
CMS LCD: Billing and Coding: Genetic Testing for Oncology
Article ID: 59491, Effective: , 845 covered, 0 non-covered
CPT 81433 →
CMS LCD: Billing and Coding: Genetic Testing for Oncology
Article ID: 59491, Effective: , 845 covered, 0 non-covered
CPT 0300U →
CMS LCD: Billing and Coding: Genetic Testing for Oncology
Article ID: 59491, Effective: , 845 covered, 0 non-covered
CPT 0333U →
CMS LCD: Billing and Coding: Genetic Testing for Oncology
Article ID: 59491, Effective: , 845 covered, 0 non-covered
CPT 81167 →
CMS LCD: Billing and Coding: Genetic Testing for Oncology
Article ID: 59491, Effective: , 845 covered, 0 non-covered
CPT 81405 →
CMS LCD: Billing and Coding: Genetic Testing for Oncology
Article ID: 59491, Effective: , 845 covered, 0 non-covered
CPT 81201 →
CMS LCD: Billing and Coding: Genetic Testing for Oncology
Article ID: 59491, Effective: , 845 covered, 0 non-covered
CPT 81263 →
CMS LCD: Billing and Coding: Genetic Testing for Oncology
Article ID: 59491, Effective: , 845 covered, 0 non-covered
CPT 81546 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing C86.1.

1 policies

1 Medicare

Billing and Coding: Genetic Testing for Oncology
Policy ID: ART-59491

CPT Codes Commonly Billed with C86.1

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for C86.1

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert C86.1 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
C86.1 20287 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To C86.1

Other codes in section C81-C96 (Malignant neoplasms of lymphoid, hematopoietic and related tissue).

C81 Hodgkin lymphoma (non-billable) C81.0 Nodular lymphocyte predominant Hodgkin lymphoma (non-billable) 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 C81.0A Nodular lymphocyte predominant Hodgkin lymphoma, in remission C81.1 Nodular sclerosis Hodgkin lymphoma (non-billable) C81.10 Nodular sclerosis Hodgkin lymphoma, unspecified site C81.11 Nodular sclerosis Hodgkin lymphoma, lymph nodes of head, face, and neck C81.12 Nodular sclerosis Hodgkin lymphoma, intrathoracic lymph nodes C81.13 Nodular sclerosis Hodgkin lymphoma, intra-abdominal lymph nodes C81.14 Nodular sclerosis Hodgkin lymphoma, lymph nodes of axilla and upper limb C81.15 Nodular sclerosis Hodgkin lymphoma, lymph nodes of inguinal region and lower limb

ICD-10 C86.1, Billing FAQ

Is ICD-10 code C86.1 billable? +

No, C86.1 is a non-billable header code. Use a more specific child code from block C86 when submitting claims.

What other names or terms map to C86.1? +

ICD-10 C86.1 includes: Alpha-beta and gamma delta types.

What ICD-9 codes does C86.1 map to? +

Per CMS GEMs, C86.1 maps to ICD-9 codes: 20287. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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