C81.70: Other Hodgkin lymphoma, unspecified site

C81.70, other Hodgkin lymphoma, unspecified site, is listed as a covered diagnosis in 8 Medicare billing and coding articles that apply to 61 HCPCS Level II codes, including J9312 (Injection, rituximab, 10 mg), Q5123 (Injection, rituximab-arrx, biosimilar, (riabni), 10 mg), Q5119 (Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg). 4 of these codes have a 2026 DMEPOS fee schedule amount; E0783 pays $9,917.33 to $11,667.45 (NU) depending on the state. The articles come from 3 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.

HCPCS Level II codes with C81.70 as a covered diagnosis

CodeDescriptionMedicare coverageDMEPOS fee 2026 (state range)Articles listing it
J9312Injection, rituximab, 10 mgSpecial coverage instructions apply—2
Q5123Injection, rituximab-arrx, biosimilar, (riabni), 10 mgCarrier judgment—2
Q5119Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mgCarrier judgment—2
Q5115Injection, rituximab-abbs, biosimilar, (truxima), 10 mgSpecial coverage instructions apply—2
J0461Injection, atropine sulfate, 0.01 mgSpecial coverage instructions apply—2
J0153Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)Special coverage instructions apply—2
J1250Injection, dobutamine hydrochloride, per 250 mgSpecial coverage instructions apply—2
J0280Injection, aminophyllin, up to 250 mgSpecial coverage instructions apply—2
J1245Injection, dipyridamole, per 10 mgSpecial coverage instructions apply—2
A9500Technetium tc-99m sestamibi, diagnostic, per study doseCarrier judgment—1
A9502Technetium tc-99m tetrofosmin, diagnostic, per study doseCarrier judgment—1
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuriesCarrier judgment—1
A9505Thallium tl-201 thallous chloride, diagnostic, per millicurieCarrier judgment—1
A9526Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuriesCarrier judgment—1
A4641Radiopharmaceutical, diagnostic, not otherwise classifiedCarrier judgment—1
A9501Technetium tc-99m teboroxime, diagnostic, per study doseCarrier judgment—1
A9611Flurpiridaz f 18, diagnostic, 1 millicurieCarrier judgment—1
J9311Injection, rituximab 10 mg and hyaluronidaseSpecial coverage instructions apply—1
J3590Unclassified biologicsCarrier judgment—1
J8999Prescription drug, oral, chemotherapeutic, nosSpecial coverage instructions apply—1
Q0512Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day periodSpecial coverage instructions apply—1
Q0511Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day periodSpecial coverage instructions apply—1
J8530Cyclophosphamide; oral, 25 mgSpecial coverage instructions apply—1
J8597Antiemetic drug, oral, not otherwise specifiedSpecial coverage instructions apply—1
J8610Methotrexate; oral, 2.5 mgSpecial coverage instructions apply—1

36 more codes are listed. See every code with payment by region in Caduvo.

Medicare policy articles listing C81.70

A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.

Other C81 diagnoses (Hodgkin lymphoma)

Frequently asked questions

Does Medicare cover C81.70 (Other Hodgkin lymphoma, unspecified site)?

Medicare covers items and services, not diagnoses. 8 Medicare billing and coding articles list C81.70 as a covered diagnosis for 61 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.

Which HCPCS codes can be billed with ICD-10 C81.70?

The Level II codes from the policies most specific to this diagnosis are J9312 (Injection, rituximab, 10 mg, 2 articles); Q5123 (Injection, rituximab-arrx, biosimilar, (riabni), 10 mg, 2 articles); Q5119 (Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg, 2 articles); Q5115 (Injection, rituximab-abbs, biosimilar, (truxima), 10 mg, 2 articles); J0461 (Injection, atropine sulfate, 0.01 mg, 2 articles). Code choice depends on the item supplied; check each code's descriptor.

What does Medicare pay for equipment billed with C81.70?

Under the 2026 DMEPOS fee schedule (non-rural state fees): E0783 $9,917.33 to $11,667.45 (NU); E0786 $10,969.75 to $11,380.88 (NU); E0782 $5,200.92 to $6,118.73 (NU); E0785 $572.38 to $673.39 (KF). Medicare pays 80% of the allowed amount after the Part B deductible.

Which Medicare policy articles list C81.70?

A56476 (Billing and Coding: Cardiac Radionuclide Imaging); A56380 (Billing and Coding: Rituximab); A59101 (Billing and Coding: Off-label Use of Rituximab and Rituximab Biosimilars), and 5 more articles.

What is ICD-10-CM code C81.70?

C81.70 is the ICD-10-CM code for other Hodgkin lymphoma, unspecified site, in category C81 (Hodgkin lymphoma), chapter 2: Neoplasms.

Next steps

Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.

Chapter 2: Neoplasms · All diagnoses · HCPCS lookup