ICD-10 to HCC Mapping Search
Search 74,000+ ICD-10-CM codes. Every result shows its CMS-HCC V28 mapping status. A separate historical PY2025 V24 reference appears only where the selected code edition's source carries one; otherwise the row says it is not shown. Code-level coefficients stay tied to the member segment and are labeled as references, not member totals.
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Common HCC-Mapped ICD-10 Codes
These examples use current CY2026 CMS-HCC V28 for non-PACE Medicare Advantage. PACE uses separate model blends.
Type 2 diabetes mellitus with hyperglycemia
HCC 38 (V28), Diabetes with No, Glycemic, or Unspecified Complications
Heart failure, unspecified
HCC 226 (V28), Heart Failure, Except End Stage and Acute
Chronic kidney disease, stage 3 unspecified
HCC 329 (V28), Chronic Kidney Disease, Moderate (Stage 3, Except 3B)
Chronic obstructive pulmonary disease with acute exacerbation
HCC 280 (V28), Chronic Obstructive Pulmonary Disease
Major depressive disorder, single episode, unspecified
No payable CMS-HCC V28 mapping; RxHCC 132
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