C94.3 ICD-10-CM Code: Mast cell leukemia
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- Tabular directives
- 4 Excludes1 · 4 Excludes2
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for C94.3 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on C94.3 itself; “inherited from” names the category or block whose note applies here.
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- leukemic reticuloendotheliosis (C91.4-) Compare C94.3 vs C91.4 →
- myelodysplastic syndromes (D46.-) Compare C94.3 vs D46 →
- personal history of leukemia (Z85.6) Compare C94.3 vs Z85.6 →
- plasma cell leukemia (C90.1-) Compare C94.3 vs C90.1 →
Source: inherited from C94
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- Kaposi's sarcoma of lymph nodes (C46.3) Compare C94.3 vs C46.3 →
- secondary and unspecified neoplasm of lymph nodes (C77.-) Compare C94.3 vs C77 →
- secondary neoplasm of bone marrow (C79.52) Compare C94.3 vs C79.52 →
- secondary neoplasm of spleen (C78.89) Compare C94.3 vs C78.89 →
Source: inherited from C81-C96
Coder workflow for C94.3
MedCoder structured workflow — derived from this code’s own official record
Before you code C94.3
- C94.3 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
See the relationships section · Guide: How to choose an ICD-10-CM code →
- Confirm the documented site and behavior (this code’s block classifies malignant neoplasms), whether the site is primary or secondary, and whether the malignancy is current or a personal history: a previously excised malignancy with no further treatment and no evidence of disease is history, not current disease. Verify the site against the Table of Neoplasms. Neoplasm chapter guidelines (Guidelines I.C.2.a, I.C.2.d, I.C.2.m).
See the Table of Neoplasms entries · Guide: Active cancer vs history of cancer →
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with C94.3. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support one of the more specific codes beneath C94.3?
Yes → Select that code and continue the checks below on its own page.
No → C94.3 cannot be reported as written; query for the specificity its subcategory needs. - Does the documentation support a condition named in C94.3’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.
Consider C94.3. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- Anatomical site
- At the most specific level the record states; a site the classification separates cannot be assumed from a procedure or a measurement.
- Acuity
- Acute or chronic as documented; when both are documented and separate codes exist, both are reported with the acute code first (Guidelines I.B.8).
- Behavior and current-versus-history status
- Malignant, in situ, benign or uncertain; primary or secondary; current disease or personal history (Guidelines I.C.2.m).
Official instructions as workflow
Excludes1 — check before selecting C94.3(4 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with C94.3: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareC91.4, D46, Z85.6, C90.1
See the official tabular notes · Guidelines I.A.12.a
Excludes2 — not part of C94.3(4 notes)
Coding workflow: The conditions named in this note are not included in C94.3. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
CompareC46.3, C77, C79.52, C78.89
See the official tabular notes · Guidelines I.A.12.b
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition C94.3 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name C94.3 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 7 Excludes1 notes across 4 chapters: C76 — Malignant neoplasm of other and ill-defined sites (via C94.-), D47.02 — Systemic mastocytosis, D72.8 — Other specified disorders of white blood cells (via C94.-), D72.825 — Bandemia (via C94.-), D89.4 — Mast cell activation syndrome and related disorders, T66 — Radiation sickness, unspecified (via C94.-), Z85.6 — Personal history of leukemia (via C94.-).
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 4 Code First instructions across 4 chapters: M36.1 — Arthropathy in neoplastic disease (via C94.-), N16 — Renal tubulo-interstitial disorders in diseases classified elsewhere (via C94.-), R50.81 — Fever presenting with conditions classified elsewhere (via C94.-), Z15.0 — Genetic susceptibility to malignant neoplasm (via C94.-).
Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.
Related Codes
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Leukemia, leukemic”, “Mast cell”; these codes share that main term but sit in a different category of the Tabular List.
C92.4 — Acute promyelocytic leukemia (AML M3), C92.5 — Acute myelomonocytic leukemia (AML M4), C92.6 — Acute myeloid leukemia with 11q23-abnormality (acute myeloid, NOS, with, 11q23-abnormality), C92.9 — Myeloid leukemia, unspecified (myeloid), C92.A — Acute myeloid leukemia with multilineage dysplasia (acute myeloid, NOS, with, multilineage dysplasia), C92.Z — Other myeloid leukemia (myeloid, specified NEC), C93.0 — Acute monoblastic/monocytic leukemia (AML M5), C93.1 — Chronic myelomonocytic leukemia (CMML), C93.3 — Juvenile myelomonocytic leukemia (juvenile myelomonocytic), C93.9 — Monocytic leukemia, unspecified (monocytic), C93.Z — Other monocytic leukemia (monocytic, specified NEC), C95.0 — Acute leukemia of unspecified cell type (blast cell), C95.1 — Chronic leukemia of unspecified cell type (unspecified cell type, chronic), C95.9 — Leukemia, unspecified, C96.20 — Malignant mast cell neoplasm, unspecified (neoplasm, malignant), C96.22 — Mast cell sarcoma (sarcoma), C96.29 — Other malignant mast cell neoplasm (neoplasm, malignant, specified type NEC), D47.02 — Systemic mastocytosis (disease, systemic tissue), D47.09 — Other mast cell neoplasms of uncertain behavior (tumor), D47.1 — Chronic myeloproliferative disease (chronic neutrophilic), +13 more
Contextual Map
Every relationship of C94.3 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run C94.3 with these 11 related codes in Claim Check
Hierarchy
- C00-D49 — Chapter 2: Neoplasms (C00-D49) (C00-D49)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- C81-C96 — Malignant neoplasms of lymphoid, hematopoietic and related tissue[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes
- C76 — Malignant neoplasm of other and ill-defined sites[Excludes1](via C94.-): “malignant neoplasm of lymphoid, hematopoietic and related tissue (C81-C96)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- D47.02 — Systemic mastocytosis[Excludes1]: “mast cell leukemia (C94.3-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- D72.8 — Other specified disorders of white blood cells[Excludes1](via C94.-): “leukemia (C91-C95)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- D72.825 — Bandemia[Excludes1](via C94.-): “leukemia (C91.-, C92.-, C93.-, C94.-, C95.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- D89.4 — Mast cell activation syndrome and related disorders[Excludes1]: “mast cell leukemia (C94.3-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T66 — Radiation sickness, unspecified[Excludes1](via C94.-): “leukemia (C91-C95)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- Z85.6 — Personal history of leukemia[Excludes1](via C94.-): “leukemia in remission C91.0-C95.9 with 5th character 1”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Code First instructions
- M36.1 — Arthropathy in neoplastic disease[Code First](via C94.-): “leukemia (C91-C95)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- N16 — Renal tubulo-interstitial disorders in diseases classified elsewhere[Code First](via C94.-): “leukemia (C91-C95)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R50.81 — Fever presenting with conditions classified elsewhere[Code First](via C94.-): “leukemia (C91-C95)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- Z15.0 — Genetic susceptibility to malignant neoplasm[Code First](via C94.-): “, if applicable, any current malignant neoplasm (C00-C75, C81-C96)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Nearest codes (21)
- C94 — Other leukemias of specified cell type[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- C94.0 — Acute erythroid leukemia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- C94.00 — Acute erythroid leukemia, not having achieved remission[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- C94.01 — Acute erythroid leukemia, in remission[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- C94.02 — Acute erythroid leukemia, in relapse[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- C94.2 — Acute megakaryoblastic leukemia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- C94.20 — Acute megakaryoblastic leukemia not having achieved remission[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- C94.21 — Acute megakaryoblastic leukemia, in remission[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 13 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can C94.3 be billed directly?
No. C94.3 (Mast cell leukemia) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "C94.3 — Mast cell leukemia." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/c94.3-mast-cell-leukemia
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionMast cell leukemia
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to C94.3 in its code family, with their registry titles.
- C94.02 — Acute erythroid leukemia, in relapse
- C94.2 — Acute megakaryoblastic leukemia
- C94.20 — Acute megakaryoblastic leukemia not having achieved remission
- C94.21 — Acute megakaryoblastic leukemia, in remission
- C94.22 — Acute megakaryoblastic leukemia, in relapse
- C94.30 — Mast cell leukemia not having achieved remission
- C94.31 — Mast cell leukemia, in remission
- C94.32 — Mast cell leukemia, in relapse
- C94.4 — Acute panmyelosis with myelofibrosis
- C94.40 — Acute panmyelosis with myelofibrosis not having achieved remission