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HCC Buddy Code Book

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HCC Buddy
HCC Buddy
Alphabetic Index and Tabular path
HCC Buddy public API, FY2026 Apr updateSource load source requiredSource year 2026Updated 2026-04-01

Index trail

Secondary Merkel cell carcinoma

See Tabular List: C7B.1

C7B, Secondary neuroendocrine tumors

C7B.1, Secondary Merkel cell carcinoma

Selected code, source checked for the selected effective period

Commonly confused codes

official source

Not listed for this effective period.

Code details and official notes

C7B.1

Secondary Merkel cell carcinoma

Open the shareable code page for C7B.1
billableHCC mapped

Includes

official source
  • Merkel cell carcinoma nodal presentation
  • Merkel cell carcinoma visceral metastatic presentation

Excludes 1

official source

No Excludes 1 note is listed in this source payload.

Excludes 2

official source

No Excludes 2 note is listed in this source payload.

Code First

official source

Not listed for this effective period.

Use Additional

official source
  • code to identify any functional activity

Code Also

official source

Not listed for this effective period.

7th character

official source

Not listed for this code in the selected Tabular payload.

Placeholder X

official source

Not listed for this code in the selected Tabular payload.

Laterality

official source

No laterality instruction is listed for this code in the selected Tabular payload.

Effective period

source required
  • FY2026 Apr update
  • Source year 2026
  • Updated 2026-04-01
  • HCC Buddy public API
HCC Buddy
HCC Buddy
Alphabetic Index and Tabular path
HCC Buddy public API, FY2026 Apr updateSource load source requiredSource year 2026Updated 2026-04-01

Index trail

Secondary Merkel cell carcinoma

See Tabular List: C7B.1

C7B, Secondary neuroendocrine tumors

C7B.1, Secondary Merkel cell carcinoma

Selected code, source checked for the selected effective period

Commonly confused codes

official source

Not listed for this effective period.

Code details and official notes

C7B.1

Secondary Merkel cell carcinoma

Open the shareable code page for C7B.1
billableHCC mapped

Includes

official source
  • Merkel cell carcinoma nodal presentation
  • Merkel cell carcinoma visceral metastatic presentation

Excludes 1

official source

No Excludes 1 note is listed in this source payload.

Excludes 2

official source

No Excludes 2 note is listed in this source payload.

Code First

official source

Not listed for this effective period.

Use Additional

official source
  • code to identify any functional activity

Code Also

official source

Not listed for this effective period.

7th character

official source

Not listed for this code in the selected Tabular payload.

Placeholder X

official source

Not listed for this code in the selected Tabular payload.

Laterality

official source

No laterality instruction is listed for this code in the selected Tabular payload.

Effective period

source required
  • FY2026 Apr update
  • Source year 2026
  • Updated 2026-04-01
  • HCC Buddy public API
HCC Buddy Insights

HCC Mapping

HCC 17 Cancer Metastatic to Lung, Liver, Brain, and Other Organs; Acute Myeloid Leukemia Except Promyelocytic (V28)HCC 8 Metastatic Cancer and Acute Leukemia (V24)HCC 18 Metastatic Cancer to Lung and Other Respiratory Sites (RxHCC)HCC 8 Metastatic Cancer and Acute Leukemia (ESRD/PACE)HCC 8 HHS-HCC 8; HHS-HCC 2026 benefit year (HHS-HCC)

RAF Value

V28: RAF: 4.209V24: RAF: 2.659RxHCC: RAF: 1.949ESRD/PACE: RAF: 0.353HHS-HCC: RAF: Varies by metal level

Model Period

FY2026 Apr update

Source

source required

Audit Caution

Close codes need documentation support before selection. Do not assume relationships.
Reviewed by the HCC Buddy Coding Team

HCC Buddy workflow band

HCC mapping, RAF, MEAT, source trail, and audit caution stay in view.

MEAT supportaudit cautionsource required

V28

HCC 17

Cancer Metastatic to Lung, Liver, Brain, and Other Organs; Acute Myeloid Leukemia Except Promyelocytic

RAF: 4.209

V24

HCC 8

Metastatic Cancer and Acute Leukemia

RAF: 2.659

RxHCC

RxHCC 18

Metastatic Cancer to Lung and Other Respiratory Sites

RAF: 1.949

ESRD/PACE

HCC 8

Metastatic Cancer and Acute Leukemia

RAF: 0.353

HHS-HCC

HCC 8

HHS-HCC 8; HHS-HCC 2026 benefit year

RAF: Varies by metal level

MEAT checklist

Reviewed by the HCC Buddy Coding Team

Monitor, Evaluate, Assess, or Treat must be supported in the provider note.

HCC Buddy guidance, not official ICD-10-CM text.

Audit caution

Reviewed by the HCC Buddy Coding Team

Close codes need documentation support before selection. Do not assume relationships.

HCC Buddy guidance, not official ICD-10-CM text.

Reviewer sign-off

Reviewed by the HCC Buddy Coding Team

MEAT, documentation support, audit cautions, and close-code guidance are reviewed and approved for this effective period.

HCC Buddy enrichment is separate from official source text.

Last updated: April 1, 2026 · Not a substitute for official coding guidelines. No PHI or patient data.
HCC Buddy Code Card
FY 2026 Apr update
C7B.1Billable

Secondary Merkel cell carcinoma

CMS-HCC V28

HCC 17

RAF 4.209

CMS-HCC V24

HCC 8

RAF 2.659

RxHCC

RxHCC 18

RAF 1.949

Reviewed by the HCC Buddy Coding TeamFY2026 Apr update

Code

C7B.1

V28 HCC

HCC 17

RAF

4.209

Compare tray

Add close codes to compare documentation differences.