Hcc Coding Cheat Sheet 2020
HCC Codes Here is the link to the CMS website.
Hcc coding cheat sheet 2020. T2D with hypoglycemia no coma E11649 18 0318. Claim-based only HHS-HCCs Non-Medicare ICD-10-CM codes. Add code for specific complication CAD.
Add code for location and stage of ulcer L97-with other skin ulcer. Type of heart failure Diastolic Systolic Combined Diastolic and Systolic Note. - Code mets fromprimary cancer first then mets tosecondary - If cancer is being treated even if there is no evidence of disease it gets coded to active cancer code - Suppressive therapy chemo radiation surgical - If documentation doesnt state active disease or treatment code for history of should be used.
Codes in bold blue font indicate a higher weighted Risk Adjustment score for CMS-HCC model version 22. E1165 DM with hyperglycemia. E1151 DM with PADPVD.
Codes in regular blue font are considered Rx CMS-HCCs model version V05 and. Some codes may result in an ungroupable MS-DRG. 121 rows By mapping ICD-10 codes to Hierarchical Condition Categories HCCs payers can factor.
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Codes may be used in multiple MS-DRGs. 2019 HCC Coding and Documentation Tips Diabetes with Manifestations Many codes are now combination codes. T2D with hyperglycemia E1165 18 0318 Document as specifically as possible.