Congenital myopathy, unspecified
CMS-HCC V28
HCC 197
RAF 0.426
CMS-HCC V24
HCC 76
RAF 0.518
ESRD/PACE
HCC 76
RAF 0.136
Index trail
Congenital myopathy
See Tabular List: G71.20
G71, Primary disorders of muscles
G71.2, Congenital myopathies
G71.20, Congenital myopathy, unspecified
Selected code, source checked for the selected effective period
Not listed for this effective period.
Not listed for this effective period.
No Excludes 1 note is listed in this source payload.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this code in the selected Tabular payload.
Not listed for this code in the selected Tabular payload.
No laterality instruction is listed for this code in the selected Tabular payload.
Index trail
Congenital myopathy
See Tabular List: G71.20
G71, Primary disorders of muscles
G71.2, Congenital myopathies
G71.20, Congenital myopathy, unspecified
Selected code, source checked for the selected effective period
Not listed for this effective period.
Not listed for this effective period.
No Excludes 1 note is listed in this source payload.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this code in the selected Tabular payload.
Not listed for this code in the selected Tabular payload.
No laterality instruction is listed for this code in the selected Tabular payload.
HCC Mapping
RAF Value
Model Period
Source
Audit Caution
HCC mapping, RAF, MEAT, source trail, and audit caution stay in view.
V28
HCC 197
Muscular Dystrophy
RAF: 0.426
V24
HCC 76
Muscular Dystrophy
RAF: 0.518
ESRD/PACE
HCC 76
Muscular Dystrophy
RAF: 0.136
HHS-HCC
HCC 117
HHS-HCC 117; HHS-HCC 2026 benefit year
RAF: Varies by metal level
MEAT checklist
Reviewed by the HCC Buddy Coding TeamMonitor, 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 TeamClose 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 TeamMEAT, 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.
Congenital myopathy, unspecified
CMS-HCC V28
HCC 197
RAF 0.426
CMS-HCC V24
HCC 76
RAF 0.518
ESRD/PACE
HCC 76
RAF 0.136
Code
G71.20
V28 HCC
HCC 197
RAF
0.426
Add close codes to compare documentation differences.