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

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2021

Non-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)

The following code(s) above C91.5 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain: Tcr

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:

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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
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

Diagnosis Index entries containing back-references to C91.5:

Leukemia, leukemicC95.9-
ICD-10-CM Diagnosis Code C95.9-
Leukemia, unspecified
- 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
- adult T-cell C91.5- (HTLV-1-associated) (acute variant) (chronic variant) (lymphomatoid variant) (smouldering variant)

C91.12 …… in relapse

C91.30 …… not having achieved remission

C91.32 …… in relapse

C91.40 …… not having achieved remission

C91.42 …… in relapse

C91.5 Adult T-cell lymphoma/leukemia (HTLV-1-associated)

C91.51 …… in remission

C91.6 Prolymphocytic leukemia of T-cell type

C91.61 …… in remission

C91.A Mature B-cell leukemia Burkitt-type

C91.A1 …… in remission

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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