Congenital malformations, deformations and chromosomal abnormalities

CMS-HCC V28 categories in this chapter (4)

Open any category for its full member-code list, RAF, and hierarchy.

• HCC 182 Spinal Cord Disorders/Injuries45
• HCC 78 Intestinal Obstruction/Perforation15
• HCC 23 Prostate, Breast, and Other Cancers and Tumors11
• HCC 68 Cholangitis and Obstruction of Bile Duct Without Gallstones3

Risk-adjusting ICD-10-CM codes (74)

Codes in this chapter that map to a CMS-HCC V28 payment category. Open any code for its full detail.

• Q00.0Anencephaly
• Q00.1Craniorachischisis
• Q00.2Iniencephaly
• Q01.0Frontal encephalocele
• Q01.1Nasofrontal encephalocele
• Q01.2Occipital encephalocele
• Q01.8Encephalocele of other sites
• Q01.9Encephalocele, unspecified
• Q02Microcephaly
• Q03.0Malformations of aqueduct of Sylvius
• Q03.1Atresia of foramina of Magendie and Luschka
• Q03.8Other congenital hydrocephalus
• Q03.9Congenital hydrocephalus, unspecified
• Q04.0Congenital malformations of corpus callosum
• Q04.1Arhinencephaly
• Q04.2Holoprosencephaly
• Q04.3Other reduction deformities of brain
• Q04.4Septo-optic dysplasia of brain
• Q04.5Megalencephaly
• Q04.6Congenital cerebral cysts
• Q04.8Other specified congenital malformations of brain
• Q04.9Congenital malformation of brain, unspecified
• Q05.0Cervical spina bifida with hydrocephalus
• Q05.1Thoracic spina bifida with hydrocephalus
• Q05.2Lumbar spina bifida with hydrocephalus
• Q05.3Sacral spina bifida with hydrocephalus
• Q05.4Unspecified spina bifida with hydrocephalus
• Q05.5Cervical spina bifida without hydrocephalus
• Q05.6Thoracic spina bifida without hydrocephalus
• Q05.7Lumbar spina bifida without hydrocephalus
• Q05.8Sacral spina bifida without hydrocephalus
• Q05.9Spina bifida, unspecified
• Q06.0Amyelia
• Q06.1Hypoplasia and dysplasia of spinal cord
• Q06.2Diastematomyelia
• Q06.3Other congenital cauda equina malformations
• Q06.4Hydromyelia
• Q06.8Other specified congenital malformations of spinal cord
• Q06.9Congenital malformation of spinal cord, unspecified
• Q07.00Arnold-Chiari syndrome without spina bifida or hydrocephalus
• Q07.01Arnold-Chiari syndrome with spina bifida
• Q07.02Arnold-Chiari syndrome with hydrocephalus
• Q07.03Arnold-Chiari syndrome with spina bifida and hydrocephalus
• Q07.8Other specified congenital malformations of nervous system
• Q07.9Congenital malformation of nervous system, unspecified
• Q40.0Congenital hypertrophic pyloric stenosis
• Q41.0Congenital absence, atresia and stenosis of duodenum
• Q41.1Congenital absence, atresia and stenosis of jejunum
• Q41.2Congenital absence, atresia and stenosis of ileum
• Q41.8Congenital absence, atresia and stenosis of other specified parts of small intestine
• Q41.9Congenital absence, atresia and stenosis of small intestine, part unspecified
• Q42.0Congenital absence, atresia and stenosis of rectum with fistula
• Q42.1Congenital absence, atresia and stenosis of rectum without fistula
• Q42.2Congenital absence, atresia and stenosis of anus with fistula
• Q42.3Congenital absence, atresia and stenosis of anus without fistula
• Q42.8Congenital absence, atresia and stenosis of other parts of large intestine
• Q42.9Congenital absence, atresia and stenosis of large intestine, part unspecified
• Q43.1Hirschsprung's disease
• Q43.2Other congenital functional disorders of colon
• Q43.3Congenital malformations of intestinal fixation
• Q44.2Atresia of bile ducts
• Q44.3Congenital stenosis and stricture of bile ducts
• Q44.71Alagille syndrome
• Q85.00Neurofibromatosis, unspecified
• Q85.01Neurofibromatosis, type 1
• Q85.02Neurofibromatosis, type 2
• Q85.03Schwannomatosis
• Q85.09Other neurofibromatosis
• Q85.1Tuberous sclerosis
• Q85.81PTEN hamartoma tumor syndrome
• Q85.82Other Cowden syndrome
• Q85.83Von Hippel-Lindau syndrome
• Q85.89Other phakomatoses, not elsewhere classified
• Q85.9Phakomatosis, unspecified

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