Bacterial pneumonia, not elsewhere classified
ACA/HHS
Source required
RAF source required
Index trail
Bacterial pneumonia
See Tabular List: J15
J15, Bacterial pneumonia, not elsewhere classified
Selected code, source checked for the selected effective period
No Excludes 2 note is listed in this source payload.
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
Bacterial pneumonia
See Tabular List: J15
J15, Bacterial pneumonia, not elsewhere classified
Selected code, source checked for the selected effective period
No Excludes 2 note is listed in this source payload.
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.
HHS-HCC
source required
HHS-HCC source required or member context needed for selected effective period
RAF: source required
MEAT checklist
Reviewed by Jess P., CPCMonitor, Evaluate, Assess, or Treat must be supported in the provider note.
HCC Buddy guidance, not official ICD-10-CM text.
Audit caution
Reviewed by Jess P., CPCClose codes need documentation support before selection. Do not assume relationships.
HCC Buddy guidance, not official ICD-10-CM text.
Reviewer sign-off
Reviewed by Jess P., CPCMEAT, 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.
Bacterial pneumonia, not elsewhere classified
ACA/HHS
Source required
RAF source required
Code
J15
V28 HCC
Not mapped
RAF
source required
Add close codes to compare documentation differences.