C86.20 Enteropathy-type (intestinal) T-cell lymphoma not having achieved remission

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applicable to

• Enteropathy associated T-cell lymphoma NOS
• Enteropathy associated T-cell lymphoma not having achieved remission
• Enteropathy associated T-cell lymphoma with failed remission
• Enteropathy-type (intestinal) T-cell lymphoma NOS
• Enteropathy-type (intestinal) T-cell lymphoma with failed remission

Applies from C86 Other specified types of T/NK-cell lymphoma

Excludes1 (never code together)

• anaplastic large cell lymphoma, ALK negative (C84.7-)
• anaplastic large cell lymphoma, ALK positive (C84.6-)
• mature T/NK-cell lymphomas (C84.-)
• other specified types of non-Hodgkin lymphoma (C85.8-)

Applies from C86.2 Enteropathy-type (intestinal) T-cell lymphoma

Applicable to

• Enteropathy associated T-cell lymphoma

Risk adjustment (HCC)

• CMS-HCC V28: HCC 20 — Lung and Other Severe Cancers
• CMS-HCC V22: HCC 10 — Lymphoma and Other Cancers
• RxHCC V08: HCC 21 — Lymphomas and Other Hematologic Cancers
• ESRD V24: HCC 10

MS-DRG index

Defines the logic of DRG(s) 820-822 in MDC 17.

Code annotations containing back-references to C86.20

Back-references to C86.20

• Type 1 Excludes: C84.Z Other mature T/NK-cell lymphomas ("enteropathy-type T-cell lymphoma (C86.20)")

Back-references to C86

• Type 1 Excludes: C76 Malignant neoplasm of other and ill-defined sites ("malignant neoplasm of lymphoid, hematopoietic and related tissue (C81-C96)")
• Type 1 Excludes: C77 Secondary and unspecified malignant neoplasm of lymph nodes ("malignant neoplasm of lymph nodes, specified as primary (C81-C86, C88, C96.-)")
• Type 1 Excludes: C85 Other specified and unspecified types of non-Hodgkin lymphoma ("other specified types of T/NK-cell lymphoma (C86.-)")
• Code First: Z15.0 Genetic susceptibility to malignant neoplasm (", if applicable, any current malignant neoplasm (C00-C75, C81-C96)")

Nearby codes

• C86.01 Extranodal NK/T-cell lymphoma, nasal type, in remission
• C86.1 Hepatosplenic T-cell lymphoma
• C86.10 Hepatosplenic T-cell lymphoma not having achieved remission
• C86.11 Hepatosplenic T-cell lymphoma, in remission
• C86.2 Enteropathy-type (intestinal) T-cell lymphoma
• C86.20 Enteropathy-type (intestinal) T-cell lymphoma not having achieved remission (this code)
• C86.21 Enteropathy-type (intestinal) T-cell lymphoma, in remission
• C86.3 Subcutaneous panniculitis-like T-cell lymphoma
• C86.30 Subcutaneous panniculitis-like T-cell lymphoma not having achieved remission
• C86.31 Subcutaneous panniculitis-like T-cell lymphoma, in remission
• C86.4 Blastic NK-cell lymphoma