ICD 10 CM
Code | Description | 2020 CMS-HCC
(V24) | 2024 CMS-HCC
(V28) | 2020 CMS-HCC Model
(V24) for 2024
Payment Year | 2024 CMS-HCC Model
(V28) for 2024
Payment Year |
I3131 | Malignant pericardial effusion in diseases classified elsewhere | | 17 | No | Yes |
J910 | Malignant pleural effusion | | 17 | No | Yes |
R180 | Malignant ascites | | 17 | No | Yes |
D3A00 | Benign carcinoid tumor of unspecified site | | 22 | No | Yes |
D3A010 | Benign carcinoid tumor of the duodenum | | 22 | No | Yes |
D3A011 | Benign carcinoid tumor of the jejunum | | 22 | No | Yes |
D3A012 | Benign carcinoid tumor of the ileum | | 22 | No | Yes |
D3A019 | Benign carcinoid tumor of the small intestine, unspecified portion | | 22 | No | Yes |
D3A020 | Benign carcinoid tumor of the appendix | | 22 | No | Yes |
D3A021 | Benign carcinoid tumor of the cecum | | 22 | No | Yes |
D3A022 | Benign carcinoid tumor of the ascending colon | | 22 | No | Yes |
D3A023 | Benign carcinoid tumor of the transverse colon | | 22 | No | Yes |
D3A024 | Benign carcinoid tumor of the descending colon | | 22 | No | Yes |
D3A025 | Benign carcinoid tumor of the sigmoid colon | | 22 | No | Yes |
D3A026 | Benign carcinoid tumor of the rectum | | 22 | No | Yes |
D3A029 | Benign carcinoid tumor of the large intestine, unspecified portion | | 22 | No | Yes |
D3A090 | Benign carcinoid tumor of the bronchus and lung | | 22 | No | Yes |
D3A091 | Benign carcinoid tumor of the thymus | | 22 | No | Yes |
D3A092 | Benign carcinoid tumor of the stomach | | 22 | No | Yes |
D3A093 | Benign carcinoid tumor of the kidney | | 22 | No | Yes |
D3A094 | Benign carcinoid tumor of the foregut, unspecified | | 22 | No | Yes |
D3A095 | Benign carcinoid tumor of the midgut, unspecified | | 22 | No | Yes |
D3A096 | Benign carcinoid tumor of the hindgut, unspecified | | 22 | No | Yes |
D3A098 | Benign carcinoid tumors of other sites | | 22 | No | Yes |
D3A8 | Other benign neuroendocrine tumors | | 22 | No | Yes |
E8300 | Disorder of copper metabolism, unspecified | | 50 | No | Yes |
E8301 | Wilson's disease | | 50 | No | Yes |
E8309 | Other disorders of copper metabolism | | 50 | No | Yes |
E8331 | Familial hypophosphatemia | | 50 | No | Yes |
K717 | Toxic liver disease with fibrosis and cirrhosis of liver | | 64 | No | Yes |
K7010 | Alcoholic hepatitis without ascites | | 65 | No | Yes |
K7011 | Alcoholic hepatitis with ascites | | 65 | No | Yes |
K713 | Toxic liver disease with chronic persistent hepatitis | | 65 | No | Yes |
K714 | Toxic liver disease with chronic lobular hepatitis | | 65 | No | Yes |
K7150 | Toxic liver disease with chronic active hepatitis without ascites | | 65 | No | Yes |
K7151 | Toxic liver disease with chronic active hepatitis with ascites | | 65 | No | Yes |
K8301 | Primary sclerosing cholangitis | | 68 | No | Yes |
K8309 | Other cholangitis | | 68 | No | Yes |
K831 | Obstruction of bile duct | | 68 | No | Yes |
Q442 | Atresia of bile ducts | | 68 | No | Yes |
Q443 | Congenital stenosis and stricture of bile ducts | | 68 | No | Yes |
P771 | Stage 1 necrotizing enterocolitis in newborn | | 78 | No | Yes |
P772 | Stage 2 necrotizing enterocolitis in newborn | | 78 | No | Yes |
P773 | Stage 3 necrotizing enterocolitis in newborn | | 78 | No | Yes |
P779 | Necrotizing enterocolitis in newborn, unspecified | | 78 | No | Yes |
P780 | Perinatal intestinal perforation | | 78 | No | Yes |
Q400 | Congenital hypertrophic pyloric stenosis | | 78 | No | Yes |
Q410 | Congenital absence, atresia and stenosis of duodenum | | 78 | No | Yes |
Q411 | Congenital absence, atresia and stenosis of jejunum | | 78 | No | Yes |
Q412 | Congenital absence, atresia and stenosis of ileum | | 78 | No | Yes |
Q418 | Congenital absence, atresia and stenosis of other specified parts of small intestine | | 78 | No | Yes |
Q419 | Congenital absence, atresia and stenosis of small intestine, part unspecified | | 78 | No | Yes |
Q420 | Congenital absence, atresia and stenosis of rectum with fistula | | 78 | No | Yes |
Q421 | Congenital absence, atresia and stenosis of rectum without fistula | | 78 | No | Yes |
Q422 | Congenital absence, atresia and stenosis of anus with fistula | | 78 | No | Yes |
Q423 | Congenital absence, atresia and stenosis of anus without fistula | | 78 | No | Yes |
Q428 | Congenital absence, atresia and stenosis of other parts of large intestine | | 78 | No | Yes |
Q429 | Congenital absence, atresia and stenosis of large intestine, part unspecified | | 78 | No | Yes |
Q431 | Hirschsprung's disease | | 78 | No | Yes |
Q432 | Other congenital functional disorders of colon | | 78 | No | Yes |
Q433 | Congenital malformations of intestinal fixation | | 78 | No | Yes |
N493 | Fournier gangrene | | 92 | No | Yes |
D8686 | Sarcoid arthropathy | | 93 | No | Yes |
D8687 | Sarcoid myositis | | 93 | No | Yes |
G7241 | Inclusion body myositis [IBM] | | 93 | No | Yes |
D644 | Congenital dyserythropoietic anemia | | 109 | No | Yes |
P550 | Rh isoimmunization of newborn | | 109 | No | Yes |
P551 | ABO isoimmunization of newborn | | 109 | No | Yes |
P558 | Other hemolytic diseases of newborn | | 109 | No | Yes |
P559 | Hemolytic disease of newborn, unspecified | | 109 | No | Yes |
P560 | Hydrops fetalis due to isoimmunization | | 109 | No | Yes |
P5690 | Hydrops fetalis due to unspecified hemolytic disease | | 109 | No | Yes |
P5699 | Hydrops fetalis due to other hemolytic disease | | 109 | No | Yes |
P040 | Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery | | 137 | No | Yes |
P0411 | Newborn affected by maternal antineoplastic chemotherapy | | 137 | No | Yes |
P0412 | Newborn affected by maternal cytotoxic drugs | | 137 | No | Yes |
P0413 | Newborn affected by maternal use of anticonvulsants | | 137 | No | Yes |
P0414 | Newborn affected by maternal use of opiates | | 137 | No | Yes |
P0415 | Newborn affected by maternal use of antidepressants | | 137 | No | Yes |
P0416 | Newborn affected by maternal use of amphetamines | | 137 | No | Yes |
P0417 | Newborn affected by maternal use of sedative-hypnotics | | 137 | No | Yes |
P0418 | Newborn affected by other maternal medication | | 137 | No | Yes |
P0419 | Newborn affected by maternal use of unspecified medication | | 137 | No | Yes |
P041A | Newborn affected by maternal use of anxiolytics | | 137 | No | Yes |
P042 | Newborn affected by maternal use of tobacco | | 137 | No | Yes |
P043 | Newborn affected by maternal use of alcohol | | 137 | No | Yes |
P0440 | Newborn affected by maternal use of unspecified drugs of addiction | | 137 | No | Yes |
P0441 | Newborn affected by maternal use of cocaine | | 137 | No | Yes |
P0442 | Newborn affected by maternal use of hallucinogens | | 137 | No | Yes |
P0449 | Newborn affected by maternal use of other drugs of addiction | | 137 | No | Yes |
P045 | Newborn affected by maternal use of nutritional chemical substances | | 137 | No | Yes |
P046 | Newborn affected by maternal exposure to environmental chemical substances | | 137 | No | Yes |
P0481 | Newborn affected by maternal use of cannabis | | 137 | No | Yes |
P0489 | Newborn affected by other maternal noxious substances | | 137 | No | Yes |
P049 | Newborn affected by maternal noxious substance, unspecified | | 137 | No | Yes |
P930 | Grey baby syndrome | | 137 | No | Yes |
P938 | Other reactions and intoxications due to drugs administered to newborn | | 137 | No | Yes |
P961 | Neonatal withdrawal symptoms from maternal use of drugs of addiction | | 137 | No | Yes |
P962 | Withdrawal symptoms from therapeutic use of drugs in newborn | | 137 | No | Yes |
F5000 | Anorexia nervosa, unspecified | | 153 | No | Yes |
F5001 | Anorexia nervosa, restricting type | | 153 | No | Yes |
F5002 | Anorexia nervosa, binge eating/purging type | | 153 | No | Yes |
F502 | Bulimia nervosa | | 153 | No | Yes |
G14 | Postpolio syndrome | | 182 | No | Yes |
P115 | Birth injury to spine and spinal cord | | 182 | No | Yes |
P570 | Kernicterus due to isoimmunization | | 192 | No | Yes |
P578 | Other specified kernicterus | | 192 | No | Yes |
P579 | Kernicterus, unspecified | | 192 | No | Yes |
P90 | Convulsions of newborn | | 201 | No | Yes |
P910 | Neonatal cerebral ischemia | | 202 | No | Yes |
P911 | Acquired periventricular cysts of newborn | | 202 | No | Yes |
P912 | Neonatal cerebral leukomalacia | | 202 | No | Yes |
P913 | Neonatal cerebral irritability | | 202 | No | Yes |
P914 | Neonatal cerebral depression | | 202 | No | Yes |
P915 | Neonatal coma | | 202 | No | Yes |
P9160 | Hypoxic ischemic encephalopathy [HIE], unspecified | | 202 | No | Yes |
P9161 | Mild hypoxic ischemic encephalopathy [HIE] | | 202 | No | Yes |
P9162 | Moderate hypoxic ischemic encephalopathy [HIE] | | 202 | No | Yes |
P9163 | Severe hypoxic ischemic encephalopathy [HIE] | | 202 | No | Yes |
P91811 | Neonatal encephalopathy in diseases classified elsewhere | | 202 | No | Yes |
P91819 | Neonatal encephalopathy, unspecified | | 202 | No | Yes |
P9188 | Other specified disturbances of cerebral status of newborn | | 202 | No | Yes |
P919 | Disturbance of cerebral status of newborn, unspecified | | 202 | No | Yes |
P2881 | Respiratory arrest of newborn | | 212 | No | Yes |
P220 | Respiratory distress syndrome of newborn | | 213 | No | Yes |
P260 | Tracheobronchial hemorrhage originating in the perinatal period | | 213 | No | Yes |
P261 | Massive pulmonary hemorrhage originating in the perinatal period | | 213 | No | Yes |
P268 | Other pulmonary hemorrhages originating in the perinatal period | | 213 | No | Yes |
P269 | Unspecified pulmonary hemorrhage originating in the perinatal period | | 213 | No | Yes |
P270 | Wilson-Mikity syndrome | | 213 | No | Yes |
P271 | Bronchopulmonary dysplasia originating in the perinatal period | | 213 | No | Yes |
P278 | Other chronic respiratory diseases originating in the perinatal period | | 213 | No | Yes |
P279 | Unspecified chronic respiratory disease originating in the perinatal period | | 213 | No | Yes |
P280 | Primary atelectasis of newborn | | 213 | No | Yes |
P2810 | Unspecified atelectasis of newborn | | 213 | No | Yes |
P2811 | Resorption atelectasis without respiratory distress syndrome | | 213 | No | Yes |
P2819 | Other atelectasis of newborn | | 213 | No | Yes |
P285 | Respiratory failure of newborn | | 213 | No | Yes |
P2981 | Cardiac arrest of newborn | | 213 | No | Yes |
T82512A | Breakdown (mechanical) of artificial heart, initial encounter | | 223 | No | Yes |
T82522A | Displacement of artificial heart, initial encounter | | 223 | No | Yes |
T82532A | Leakage of artificial heart, initial encounter | | 223 | No | Yes |
T82592A | Other mechanical complication of artificial heart, initial encounter | | 223 | No | Yes |
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