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Adult T-cell lymphoma/leukemia (HTLV-1-associated)

Giant; Years Selected Year: 2008. 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993. TCR Advanced Team.

201620172018201920202021Non-Billable/Non-Specific Code

• C91.5 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
• The 2021 edition of ICD-10-CM C91.5 became effective on October 1, 2020.
• This is the American ICD-10-CM version of C91.5 - other international versions of ICD-10 C91.5 may differ.

Applicable To

• Acute variant of adult T-cell lymphoma/leukemia (HTLV-1-associated)
• Chronic variant of adult T-cell lymphoma/leukemia (HTLV-1-associated)
• Lymphomatoid variant of adult T-cell lymphoma/leukemia (HTLV-1-associated)
• Smouldering variant of adult T-cell lymphoma/leukemia (HTLV-1-associated)

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The following code(s) above C91.5 contain annotation back-referencesIn this context, annotation back-references refer to codes that contain:

• Applicable To annotations, or
• Code Also annotations, or
• Code First annotations, or
• Excludes1 annotations, or
• Excludes2 annotations, or
• Includes annotations, or
• Note annotations, or
• Use Additional annotations

that may be applicable to C91.5:

• C00-D49
  2021 ICD-10-CM Range C00-D49

  Neoplasms

  Note

  • Functional activity
  • All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
  • Morphology [Histology]
  • Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
  • Primary malignant neoplasms overlapping site boundaries
  • A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
  • Malignant neoplasm of ectopic tissue
  • Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).
  Neoplasms
• C81-C96
  2021 ICD-10-CM Range C81-C96

  Malignant neoplasms of lymphoid, hematopoietic and related tissue

  Type 2 Excludes

  • Kaposi's sarcoma of lymph nodes (C46.3)
  • secondary and unspecified neoplasm of lymph nodes (C77.-)
  • secondary neoplasm of bone marrow (C79.52)
  • secondary neoplasm of spleen (C78.89)
  Malignant neoplasms of lymphoid, hematopoietic and related tissue
• C91
  ICD-10-CM Diagnosis Code C91

  Lymphoid leukemia

  201620172018201920202021Non-Billable/Non-Specific Code

  Type 1 Excludes

  • personal history of leukemia (Z85.6)
  Lymphoid leukemia

Clinical Information

• A peripheral (mature) t-cell neoplasm caused by the human t-cell leukemia virus type 1 (htlv-1). Adult t-cell leukemia/lymphoma is endemic in several regions of the world, in particular japan, the caribbean, and parts of central africa. (who, 2001)
• Aggressive t-cell malignancy with adult onset, caused by human t lymphotropic virus type 1.
• Aggressive t-cell malignancy with adult onset, caused by human t-lymphotropic virus 1. It is endemic in japan, the caribbean basin, southeastern United States, hawaii, and parts of central and south america and sub-saharan africa.
• An aggressive (fast-growing) type of t-cell non-hodgkin lymphoma caused by the human t-cell leukemia virus type 1 (htlv-1). It is marked by bone and skin lesions, high calcium levels, and enlarged lymph nodes, spleen, and liver.
• Atll. A cancer of t-cells (a type of white blood cell). It is often associated with human t-cell leukemia virus (htlv) infection.

Code History

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): No change
• 2018 (effective 10/1/2017): No change
• 2019 (effective 10/1/2018): No change
• 2020 (effective 10/1/2019): No change
• 2021 (effective 10/1/2020): No change

• Leukemia, leukemicC95.9-
  ICD-10-CM Diagnosis Code C95.9-

  Leukemia, unspecified

  201620172018201920202021Non-Billable/Non-Specific Code
  • adult T-cell C91.5- (HTLV-1-associated) (acute variant) (chronic variant) (lymphomatoid variant) (smouldering variant)
• Lymphoma (of) (malignant) C85.90
  ICD-10-CM Diagnosis Code C85.90

  Non-Hodgkin lymphoma, unspecified, unspecified site

  201620172018201920202021Billable/Specific Code
  • adult T-cell C91.5- (HTLV-1-associated) (acute variant) (chronic variant) (lymphomatoid variant) (smouldering variant)

Giant Tcr A0 2

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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