Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

CMS-HCC V28 categories in this chapter (9)

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

• HCC 202 Coma, Brain Compression/Anoxic Damage43
• HCC 2 Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock6
• HCC 201 Seizure Disorders and Convulsions4
• HCC 213 Cardio-Respiratory Failure and Shock2
• HCC 212 Respiratory Arrest1
• HCC 137 Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications1
• HCC 17 Cancer Metastatic to Lung, Liver, Brain, and Other Organs; Acute Myeloid Leukemia Except Promyelocytic1
• HCC 155 Major Depression, Moderate or Severe, without Psychosis1
• HCC 180 Quadriplegia1

Risk-adjusting ICD-10-CM codes (60)

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

• R09.2Respiratory arrest
• R11.16Cannabis hyperemesis syndrome
• R18.0Malignant ascites
• R40.20Unspecified coma
• R40.2110Coma scale, eyes open, never, unspecified time
• R40.2111Coma scale, eyes open, never, in the field [EMT or ambulance]
• R40.2112Coma scale, eyes open, never, at arrival to emergency department
• R40.2113Coma scale, eyes open, never, at hospital admission
• R40.2114Coma scale, eyes open, never, 24 hours or more after hospital admission
• R40.2120Coma scale, eyes open, to pain, unspecified time
• R40.2121Coma scale, eyes open, to pain, in the field [EMT or ambulance]
• R40.2122Coma scale, eyes open, to pain, at arrival to emergency department
• R40.2123Coma scale, eyes open, to pain, at hospital admission
• R40.2124Coma scale, eyes open, to pain, 24 hours or more after hospital admission
• R40.2210Coma scale, best verbal response, none, unspecified time
• R40.2211Coma scale, best verbal response, none, in the field [EMT or ambulance]
• R40.2212Coma scale, best verbal response, none, at arrival to emergency department
• R40.2213Coma scale, best verbal response, none, at hospital admission
• R40.2214Coma scale, best verbal response, none, 24 hours or more after hospital admission
• R40.2220Coma scale, best verbal response, incomprehensible words, unspecified time
• R40.2221Coma scale, best verbal response, incomprehensible words, in the field [EMT or ambulance]
• R40.2222Coma scale, best verbal response, incomprehensible words, at arrival to emergency department
• R40.2223Coma scale, best verbal response, incomprehensible words, at hospital admission
• R40.2224Coma scale, best verbal response, incomprehensible words, 24 hours or more after hospital admission
• R40.2310Coma scale, best motor response, none, unspecified time
• R40.2311Coma scale, best motor response, none, in the field [EMT or ambulance]
• R40.2312Coma scale, best motor response, none, at arrival to emergency department
• R40.2313Coma scale, best motor response, none, at hospital admission
• R40.2314Coma scale, best motor response, none, 24 hours or more after hospital admission
• R40.2320Coma scale, best motor response, extension, unspecified time
• R40.2321Coma scale, best motor response, extension, in the field [EMT or ambulance]
• R40.2322Coma scale, best motor response, extension, at arrival to emergency department
• R40.2323Coma scale, best motor response, extension, at hospital admission
• R40.2324Coma scale, best motor response, extension, 24 hours or more after hospital admission
• R40.2430Glasgow coma scale score 3-8, unspecified time
• R40.2431Glasgow coma scale score 3-8, in the field [EMT or ambulance]
• R40.2432Glasgow coma scale score 3-8, at arrival to emergency department
• R40.2433Glasgow coma scale score 3-8, at hospital admission
• R40.2434Glasgow coma scale score 3-8, 24 hours or more after hospital admission
• R40.2440Other coma, without documented Glasgow coma scale score, or with partial score reported, unspecified time
• R40.2441Other coma, without documented Glasgow coma scale score, or with partial score reported, in the field [EMT or ambulance]
• R40.2442Other coma, without documented Glasgow coma scale score, or with partial score reported, at arrival to emergency department
• R40.2443Other coma, without documented Glasgow coma scale score, or with partial score reported, at hospital admission
• R40.2444Other coma, without documented Glasgow coma scale score, or with partial score reported, 24 hours or more after hospital admission
• R40.2ANontraumatic coma due to underlying condition
• R40.3Persistent vegetative state
• R45.88Nonsuicidal self-harm
• R53.2Functional quadriplegia
• R56.00Simple febrile convulsions
• R56.01Complex febrile convulsions
• R56.1Post traumatic seizures
• R56.9Unspecified convulsions
• R57.0Cardiogenic shock
• R57.1Hypovolemic shock
• R57.8Other shock
• R57.9Shock, unspecified
• R65.10Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction
• R65.11Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction
• R65.20Severe sepsis without septic shock
• R65.21Severe sepsis with septic shock

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