2026 ICD-10-CM Diagnosis Code C96.9Malignant neoplasm of lymphoid, hematopoietic and related tissue, unspecified
ICD-10-CM Codes›C00–D49›C81-C96›C96
- Billable — Valid for Submission
- CC — Complication or Comorbidity
- Risk Adjusts — HCC 21
- Chronic Condition
C96.9 is a billable ICD-10-CM diagnosis code for malignant neoplasm of lymphoid, hematopoietic and related tissue, unspecified. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 11 through 13, 820 through 825, 840 through 842. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 6 closely related codes. Coders also document this condition as arthritis secondary to hematological malignancy. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Non-Hodgkin lymphoma.
For Medicare Advantage risk adjustment, C96.9 maps to CMS-HCC Category 21 (Lymphoma and Other Cancers) under the V28 model, adding a risk factor of about 0.671 for a community, non-dual, aged beneficiary in payment year 2026.
Code Identity
Code Classification
Medicare Risk Adjustment (HCC)Billing
C96.9 maps to a payment category in the CMS-HCC model used to risk-adjust Medicare Advantage payments. Weights are the published community factors for payment year 2026.
Source: CMS Payment Year 2026 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Arthritis secondary to hematological malignancy
- Arthritis secondary to malignancy
- Erythropoietic uroporphyria associated with myeloid malignancy
- Malignant neoplasm of lymphoid, hematopoietic and/or related tissue
- Myeloid and/or lymphoid neoplasm with PCM1-JAK2
- Neurolymphomatosis
- Paraneoplastic neuropathy
- Paraneoplastic peripheral neuropathy
- Porphyruria
- Uroporphyrinuria
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Herpesvirus 2, Gallid
the type species of the genus mardivirus in the family herpesviridae. it is the etiologic agent of marek disease, infecting domestic fowl and wild birds.Neurolymphomatosis
infiltration of the nervous system by malignant lymphoma cells.
Table of NeoplasmsClinical
Anatomical sites in the Table of Neoplasms that reference this code family.
| Site | Malig. Primary | Malig. Secondary | Ca in situ | Benign | Uncertain | Unspec. |
|---|---|---|---|---|---|---|
| bone (periosteum) › marrow NEC (any bone) | C96.9 | C79.52 | – | – | D47.9 | D49.89 |
| hematopoietic, hemopoietic tissue NEC | C96.9 | – | – | – | – | – |
| lymph, lymphatic channel NEC › gland (secondary) › primary (any site) NEC | C96.9 | – | – | – | – | – |
| lymph, lymphatic channel NEC › node [See Also: Neoplasm, lymph gland] | C96.9 | – | – | – | – | – |
| lymph, lymphatic channel NEC › node [See Also: Neoplasm, lymph gland] › primary NEC | C96.9 | – | – | – | – | – |
| marrow (bone) NEC | C96.9 | C79.52 | – | – | D47.9 | D49.89 |
| spine, spinal (column) › marrow NEC | C96.9 | C79.52 | – | – | D47.9 | D49.89 |
| vertebra (column) › marrow NEC | C96.9 | C79.52 | – | – | D47.9 | D49.89 |
Patient EducationClinical
Lymphoma
Lymphoma is a cancer of a part of the immune system called the lymph system. There are many types of lymphoma. One type is Hodgkin disease. The rest are called non-Hodgkin lymphomas.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert C96.9 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About C96.9Overview
Is C96.9 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report malignant neoplasm of lymphoid, hematopoietic and related tissue, unspecified on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does C96.9 group to?
When malignant neoplasm of lymphoid, hematopoietic and related tissue, unspecified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 11, 12, 13, 820, 821, 822, 823, 824, 825, 840, 841, 842, with relative weights from 1.0104 to 5.8648 depending on complications. Higher weights mean higher Medicare reimbursement.
Is C96.9 a CC or MCC?
CMS lists C96.9 as a CC (complication or comorbidity) for FY 2026. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 6 closely related codes in its exclusion list.
What is the ICD-9 equivalent of C96.9?
Under the General Equivalence Mappings, malignant neoplasm of lymphoid, hematopoietic and related tissue, unspecified converts to ICD-9-CM 202.90 (unsp lym unsp xtrndl org), 202.91 (lymphoid mal NEC head), and 202.92 (lymphoid mal NEC thorax). The mapping is approximate, so confirm the match fits the documentation.
What HCC is C96.9?
C96.9 (malignant neoplasm of lymphoid, hematopoietic and related tissue, unspecified) maps to CMS-HCC Category 21 (Lymphoma and Other Cancers), commonly written as HCC 21, in the CMS-HCC V28 model used for Medicare Advantage risk adjustment in payment year 2026. It mapped to HCC 10 under the retired V24 model. It also maps in the PACE (CMS-HCC V22), ESRD (V21), and ESRD (V24) models. In the Part D prescription drug model it maps to RxHCC 21.
Does C96.9 risk-adjust for Medicare Advantage payment?
Yes. When documented and reported on a Medicare Advantage encounter, C96.9 adds a risk adjustment factor of about 0.671 to the beneficiary's RAF score for a community, non-dual, aged enrollee (published V28 weights range from 0.493 to 0.739 depending on the payment segment). A more severe related category (HCC 17, HCC 18, HCC 19, and HCC 20) supersedes it when both are reported. See the full factor table on the HCC 21 category page.
