Risk Adjustment Coding and HCC Guide

HCC Category ICD-10-CM Code Description RAF Value Validated by Current Documentation Improved Documentation HCC 58 F33.41 Major depressive disorder, recurrent, in partial remission 0.395 No Yes HCC 12 C50.919 Malignant neoplasm of unspecified site of unspecified female breast 0.146 Yes Yes HCC 22 E66.2 Obesity hypoventilation syndrome (OHS) 0 ... ................
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