CSHCN 2008 > Physician > Benefits and Limitations

   
 

24.3.17.4 Denileukin Diftitox

Denileukin diftitox (procedure code 1-J9160) is a benefit of the CSHCN Services Program for the following diagnosis codes:

Diagnosis Code
Description

20210

Mycosis fungoides, unspecified site

20211

Mycosis fungoides involving lymph nodes of head, face, and neck

20212

Mycosis fungoides involving intrathoracic lymph nodes

20213

Mycosis fungoides involving intra-abdominal lymph nodes

20214

Mycosis fungoides involving lymph nodes of axilla and upper limb

20215

Mycosis fungoides involving lymph nodes of inguinal region and lower limb

20216

Mycosis fungoides involving intrapelvic lymph nodes

20217

Mycosis fungoides involving spleen

20218

Mycosis fungoides involving lymph nodes of multiple sites

20220

Sezary's disease, unspecified site

20270

Peripheral T cell lymphoma, unspecified site, extranodal, and solid organ sites

20271

Peripheral T cell lymphoma, lymph nodes of head, face, and neck

20272

Peripheral T cell lymphoma, intrathoracic lymph nodes

20273

Peripheral T cell lymphoma, intra-abdominal lymph nodes

20274

Peripheral T cell lymphoma, lymph nodes of axilla and upper limb

20275

Peripheral T cell lymphoma, lymph nodes of inguinal region and lower limb

20276

Peripheral T cell lymphoma, intrapelvic lymph nodes

20277

Peripheral T cell lymphoma, spleen

20278

Peripheral T cell lymphoma, lymph nodes of multiple sites


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