Poisoning by unspecified anesthetic, intentional self-harm, initial encounter
CMS-HCC V28
HCC 155
RAF 0.299
CMS-HCC V24
HCC 59
RAF 0.309
RxHCC
RxHCC 132
RAF 0.070
Index trail
Poisoning by unspecified anesthetic
See Tabular List: T41.42XA
T41.42XA, Poisoning by unspecified anesthetic, intentional self-harm, initial encounter
Selected code, source checked for the selected effective period
Not listed for this effective period.
Poisoning by unspecified anesthetic, intentional self-harm, initial encounter
Open the shareable code page for T41.42XA→Not listed for this effective period.
No Excludes 1 note is listed in this source payload.
No Excludes 2 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
Poisoning by unspecified anesthetic
See Tabular List: T41.42XA
T41.42XA, Poisoning by unspecified anesthetic, intentional self-harm, initial encounter
Selected code, source checked for the selected effective period
Not listed for this effective period.
Poisoning by unspecified anesthetic, intentional self-harm, initial encounter
Open the shareable code page for T41.42XA→Not listed for this effective period.
No Excludes 1 note is listed in this source payload.
No Excludes 2 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 155
Major Depression, Moderate or Severe, without Psychosis
RAF: 0.299
V24
HCC 59
Major Depressive, Bipolar, and Paranoid Disorders
RAF: 0.309
RxHCC
RxHCC 132
Major Depressive Disorder and Other Mood Disorders
RAF: 0.070
ESRD/PACE
HCC 59
Major Depressive, Bipolar, and Paranoid Disorders
RAF: 0.066
HHS-HCC
HCC 88
HHS-HCC 88; 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.
Poisoning by unspecified anesthetic, intentional self-harm, initial encounter
CMS-HCC V28
HCC 155
RAF 0.299
CMS-HCC V24
HCC 59
RAF 0.309
RxHCC
RxHCC 132
RAF 0.070
Code
T41.42XA
V28 HCC
HCC 155
RAF
0.299
Add close codes to compare documentation differences.