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Compare/C85.1 vs C88.00

C85.1 vs C88.00

C85.1 (Unspecified B-cell lymphoma) compared with C88.00 (Waldenström macroglobulinemia not having achieved remission), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. C88.00 carries an Excludes1 note covering C85.1: “B-cell lymphoma, unspecified (C85.1-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

C85.1Unspecified B-cell lymphomaC88.00Waldenström macroglobulinemia not having achieved remission
Billing statusNon-billable header

Report instead: C85.10, C85.11, C85.12, C85.13, C85.14

Billable
ClassificationC00-D49 — Neoplasms (C00-D49)C00-D49 — Neoplasms (C00-D49)
DefinitionUnspecified B-cell lymphoma is a non-billable ICD-10-CM category code (C85.1).Waldenström macroglobulinemia not having achieved remission is a billable ICD-10-CM diagnosis code (C88.00).
Includes
Lymphoplasmacytic lymphoma with IgM-production, NOS
Lymphoplasmacytic lymphoma with IgM-production not having achieved remission
Lymphoplasmacytic lymphoma with IgM-production with failed remission
Macroglobulinemia (idiopathic) (primary) NOS

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources