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A66.3 ICD-10-CM Code: Hyperkeratosis of yaws

A66.3 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC Buddy coding tools

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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Other spirochetal diseases (A65-A69)

A66.3

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Hyperkeratosis of yaws

Hyperkeratosis of yaws is a skin condition caused by the yaws infection (a tropical disease spread by bacteria) that results in thickened, hardened patches of skin. This represents a specific manifestation of the yaws disease affecting the outer layer of the skin.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
A66Yaws
A66.3Hyperkeratosis of yaws

Inclusion Terms

Official
  • Ghoul hand
  • Hyperkeratosis, palmar or plantar (early) (late) due to yaws
  • Worm-eaten soles

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for A66.3 in this effective period.

Related Child Codes

Official
A66.0Initial lesions of yaws
A66.1Multiple papillomata and wet crab yaws
A66.2Other early skin lesions of yaws
A66.4Gummata and ulcers of yaws
A66.5Gangosa

Includes

Official
  • bouba
  • frambesia (tropica)
  • pian

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for A66.3 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for A66.3 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for A66.3 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for A66.3 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Verify that the patient has a confirmed diagnosis of yaws (caused by Treponema pallidum subspecies pertenue) with documented hyperkeratotic skin lesions before assigning this code
This code should only be used when hyperkeratosis is specifically documented as a manifestation of yaws; do not use for hyperkeratosis from other causes

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is A66.3 an HCC code?

No. A66.3 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
A66.3
Description
Hyperkeratosis of yaws
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A66.3 is the ICD-10-CM diagnosis code for hyperkeratosis of yaws. Hyperkeratosis of yaws is a skin condition caused by the yaws infection (a tropical disease spread by bacteria) that results in thickened, hardened patches of skin. This represents a specific manifestation of the yaws disease affecting the outer layer of the skin. A66.3 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering other spirochetal diseases (a65-a69).

A66.3 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Verify that the patient has a confirmed diagnosis of yaws (caused by Treponema pallidum subspecies pertenue) with documented hyperkeratotic skin lesions before assigning this code.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A66.3 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Verify that the patient has a confirmed diagnosis of yaws (caused by Treponema pallidum subspecies pertenue) with documented hyperkeratotic skin lesions before assigning this code
  • This code should only be used when hyperkeratosis is specifically documented as a manifestation of yaws; do not use for hyperkeratosis from other causes

Child Codes

Code Hierarchy

A66YawsA66.3Hyperkeratosis of yaws
A66.3Hyperkeratosis of yaws

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