C94.80 — Other specified leukemias not having achieved remission
Is C94.80 billable?
Yes, but C94.80 is an unspecified code. C94.80 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, C94.80 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting C94.80 — the more specific alternatives are listed below.
More specific alternatives
C94.80 at a glance
| Code | C94.80 |
|---|---|
| Description | Other specified leukemias not having achieved remission |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does C94.80 group to?
C94.80 sits in MDC 17 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 820Lymphoma and Leukemia with Major O.R. Procedures with MCCsurgical
- 821Lymphoma and Leukemia with Major O.R. Procedures with CCsurgical
- 822Lymphoma and Leukemia with Major O.R. Procedures without CC/MCCsurgical
As a secondary diagnosis, C94.80 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is C94.80 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under C94.8, the nearest indexed parent of C94.80. Use them to find the family, then select the specific code.
- Leukemia, leukemic › acute basophilic
- Leukemia, leukemic › aggressive NK-cell
- Leukemia, leukemic › chronic eosinophilic
- Leukemia, leukemic › specified NEC
Inclusion terms
Alternative wording in documentation that is classified to C94.80.
- Other specified leukemia with failed remission
- Other specified leukemias NOS
Excludes1 — never code together — inherited from C94
The conditions below can never be reported together with C94.80 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from C81-C96
The conditions below are not part of C94.80, but a patient may have both at the same time. When documentation supports it, C94.80 and the excluded code may both be reported.
Code also — inherited from C94.8
Two codes may be needed to describe the condition fully. Whether C94.80 is sequenced first depends on the reason for the encounter.
- , if applicable, eosinophilia (D72.18)
How long has C94.80 existed?
C94.80 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.