New CMS HCC model (V28)
The V28 model reorganized the entire ICD-10-CM code set which now maps close to 74,000 ICD-10 codes to 266 HCCs. V28 has approximately 2,000 fewer ICD codes eligible for risk adjustment. With fewer codes, it’s more important than ever to code accurately and completely for MA patients. And with CMS’ increased scrutiny, these codes need to be documented and substantiated.
V28 has some notable new conditions that are eligible for risk adjustment. Remember to document and code these conditions annually.
- D3A.00-.098 Benign carcinoid tumor of…
- D86.86 Sarcoid arthropathy
- D86.87 Sarcoid myositis
- D86.3 Sarcoidosis of skin
- K70.10-.11 Alcoholic hepatitis…
- K71.3-.7 Toxic liver disease with…
- K83.01 Primary sclerosing cholangitis
- K83.09 Other cholangitis
- K83.1 Obstruction of bile duct
- F50.00-.02 Anorexia nervosa, …
- F50.2 Bulimia nervosa
- J45.50-.52 Severe persistent asthma…
- H34.8110-.8192 Central retinal vein occlusion…
- H34.8310-.8392 Tributary (branch) retinal vein occlusion…
- Z97.13-.16 Presence of artificial…leg…
Want to learn more about Vatica?