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Hierarchical Condition Categories (HCC)

Browse Medicare Advantage risk categories and explore mapped ICD-10 diagnoses.

V28
1 HCC
HIV/AIDS
3 Mapped ICD-10 Codes
2 HCC
Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock
52 Mapped ICD-10 Codes
6 HCC
Opportunistic Infections
37 Mapped ICD-10 Codes
17 HCC
Cancer Metastatic to Lung, Liver, Brain, and Other Organs; Acute Myeloid Leukemia Except Promyelocytic
78 Mapped ICD-10 Codes
18 HCC
Cancer Metastatic to Bone, Other and Unspecified Metastatic Cancer; Acute Leukemia Except Myeloid
26 Mapped ICD-10 Codes
19 HCC
Myelodysplastic Syndromes, Multiple Myeloma, and Other Cancers
68 Mapped ICD-10 Codes
20 HCC
Lung and Other Severe Cancers
233 Mapped ICD-10 Codes
21 HCC
Lymphoma and Other Cancers
463 Mapped ICD-10 Codes
22 HCC
Bladder, Colorectal, and Other Cancers
126 Mapped ICD-10 Codes
23 HCC
Prostate, Breast, and Other Cancers and Tumors
234 Mapped ICD-10 Codes
35 HCC
Pancreas Transplant Status
1 Mapped ICD-10 Codes
36 HCC
Diabetes with Severe Acute Complications
18 Mapped ICD-10 Codes
37 HCC
Diabetes with Chronic Complications
308 Mapped ICD-10 Codes
38 HCC
Diabetes with Glycemic, Unspecified, or No Complications
17 Mapped ICD-10 Codes
48 HCC
Morbid Obesity
9 Mapped ICD-10 Codes
49 HCC
Specified Lysosomal Storage Disorders
13 Mapped ICD-10 Codes
50 HCC
Amyloidosis, Porphyria, and Other Specified Metabolic Disorders
32 Mapped ICD-10 Codes
51 HCC
Addison's and Cushing's Diseases, Acromegaly, and Other Specified Endocrine Disorders
11 Mapped ICD-10 Codes
62 HCC
Liver Transplant Status/Complications
7 Mapped ICD-10 Codes
63 HCC
Chronic Liver Failure/End-Stage Liver Disorders
14 Mapped ICD-10 Codes
64 HCC
Cirrhosis of Liver
6 Mapped ICD-10 Codes
65 HCC
Chronic Hepatitis
17 Mapped ICD-10 Codes
68 HCC
Cholangitis and Obstruction of Bile Duct Without Gallstones
8 Mapped ICD-10 Codes
77 HCC
Intestine Transplant Status/Complications
6 Mapped ICD-10 Codes
78 HCC
Intestinal Obstruction/Perforation
76 Mapped ICD-10 Codes
79 HCC
Chronic Pancreatitis
2 Mapped ICD-10 Codes
80 HCC
Crohn's Disease (Regional Enteritis)
28 Mapped ICD-10 Codes
81 HCC
Ulcerative Colitis
49 Mapped ICD-10 Codes
92 HCC
Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis
609 Mapped ICD-10 Codes
93 HCC
Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders
508 Mapped ICD-10 Codes
94 HCC
Systemic Lupus Erythematosus and Other Specified Systemic Connective Tissue Disorders
71 Mapped ICD-10 Codes
107 HCC
Sickle Cell Anemia (Hb-SS) and Thalassemia Beta Zero
14 Mapped ICD-10 Codes
108 HCC
Sickle Cell Disorders, Except Sickle Cell Anemia (Hb-SS) and Thalassemia Beta Zero; Beta Thalassemia Major
39 Mapped ICD-10 Codes
109 HCC
Acquired Hemolytic, Aplastic, and Sideroblastic Anemias
37 Mapped ICD-10 Codes
111 HCC
Hemophilia, Male
2 Mapped ICD-10 Codes
112 HCC
Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions
21 Mapped ICD-10 Codes
114 HCC
Common Variable and Combined Immunodeficiencies
18 Mapped ICD-10 Codes
115 HCC
Specified Immunodeficiencies and White Blood Cell Disorders
19 Mapped ICD-10 Codes
125 HCC
Dementia, Severe
18 Mapped ICD-10 Codes
126 HCC
Dementia, Moderate
18 Mapped ICD-10 Codes
127 HCC
Dementia, Mild or Unspecified
65 Mapped ICD-10 Codes
135 HCC
Drug Use with Psychotic Complications
97 Mapped ICD-10 Codes
136 HCC
Alcohol Use with Psychotic Complications
19 Mapped ICD-10 Codes
137 HCC
Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications
308 Mapped ICD-10 Codes
138 HCC
Drug Use Disorder, Mild, Uncomplicated, Except Cannabis
14 Mapped ICD-10 Codes
139 HCC
Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications
27 Mapped ICD-10 Codes
151 HCC
Schizophrenia
12 Mapped ICD-10 Codes
152 HCC
Psychosis, Except Schizophrenia
12 Mapped ICD-10 Codes
153 HCC
Personality Disorders; Anorexia/Bulimia Nervosa
35 Mapped ICD-10 Codes
154 HCC
Bipolar Disorders without Psychosis
27 Mapped ICD-10 Codes
155 HCC
Major Depression, Moderate or Severe, without Psychosis
371 Mapped ICD-10 Codes
180 HCC
Quadriplegia
33 Mapped ICD-10 Codes
181 HCC
Paraplegia
18 Mapped ICD-10 Codes
182 HCC
Spinal Cord Disorders/Injuries
251 Mapped ICD-10 Codes
190 HCC
Amyotrophic Lateral Sclerosis and Other Motor Neuron Disease, Spinal Muscular Atrophy
11 Mapped ICD-10 Codes
191 HCC
Quadriplegic Cerebral Palsy
1 Mapped ICD-10 Codes
192 HCC
Cerebral Palsy, Except Quadriplegic
9 Mapped ICD-10 Codes
193 HCC
Chronic Inflammatory Demyelinating Polyneuritis and Multifocal Motor Neuropathy
2 Mapped ICD-10 Codes
195 HCC
Myasthenia Gravis with (Acute) Exacerbation
1 Mapped ICD-10 Codes
196 HCC
Myasthenia Gravis without (Acute) Exacerbation and Other Myoneural Disorders
9 Mapped ICD-10 Codes
197 HCC
Muscular Dystrophy
21 Mapped ICD-10 Codes
198 HCC
Multiple Sclerosis
20 Mapped ICD-10 Codes
199 HCC
Parkinson and Other Degenerative Disease of Basal Ganglia
16 Mapped ICD-10 Codes
200 HCC
Friedreich and Other Hereditary Ataxias; Huntington Disease
17 Mapped ICD-10 Codes
201 HCC
Seizure Disorders and Convulsions
64 Mapped ICD-10 Codes
202 HCC
Coma, Brain Compression/Anoxic Damage
61 Mapped ICD-10 Codes
211 HCC
Respirator Dependence/Tracheostomy Status/Complications
13 Mapped ICD-10 Codes
212 HCC
Respiratory Arrest
2 Mapped ICD-10 Codes
213 HCC
Cardio-Respiratory Failure and Shock
36 Mapped ICD-10 Codes
221 HCC
Heart Transplant Status/Complications
15 Mapped ICD-10 Codes
222 HCC
End-Stage Heart Failure
1 Mapped ICD-10 Codes
223 HCC
Heart Failure with Heart Assist Device/Artificial Heart
6 Mapped ICD-10 Codes
224 HCC
Acute on Chronic Heart Failure
3 Mapped ICD-10 Codes
225 HCC
Acute Heart Failure (Excludes Acute on Chronic)
6 Mapped ICD-10 Codes
226 HCC
Heart Failure, Except End-Stage and Acute
34 Mapped ICD-10 Codes
227 HCC
Cardiomyopathy/Myocarditis
14 Mapped ICD-10 Codes
228 HCC
Acute Myocardial Infarction
18 Mapped ICD-10 Codes
229 HCC
Unstable Angina and Other Acute Ischemic Heart Disease
25 Mapped ICD-10 Codes
238 HCC
Specified Heart Arrhythmias
17 Mapped ICD-10 Codes
248 HCC
Intracranial Hemorrhage
53 Mapped ICD-10 Codes
249 HCC
Ischemic or Unspecified Stroke
95 Mapped ICD-10 Codes
253 HCC
Hemiplegia/Hemiparesis
45 Mapped ICD-10 Codes
254 HCC
Monoplegia, Other Paralytic Syndromes
119 Mapped ICD-10 Codes
263 HCC
Atherosclerosis of Arteries of the Extremities with Ulceration or Gangrene
127 Mapped ICD-10 Codes
264 HCC
Vascular Disease with Complications
71 Mapped ICD-10 Codes
267 HCC
Deep Vein Thrombosis and Pulmonary Embolism
167 Mapped ICD-10 Codes
276 HCC
Lung Transplant Status/Complications
17 Mapped ICD-10 Codes
277 HCC
Cystic Fibrosis
5 Mapped ICD-10 Codes
278 HCC
Idiopathic Pulmonary Fibrosis and Lung Involvement in Systemic Sclerosis
4 Mapped ICD-10 Codes
279 HCC
Severe Persistent Asthma
3 Mapped ICD-10 Codes
280 HCC
Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders
79 Mapped ICD-10 Codes
282 HCC
Aspiration and Specified Bacterial Pneumonias
14 Mapped ICD-10 Codes
283 HCC
Empyema, Lung Abscess
7 Mapped ICD-10 Codes
298 HCC
Severe Diabetic Eye Disease, Retinal Vein Occlusion, and Vitreous Hemorrhage
180 Mapped ICD-10 Codes
300 HCC
Exudative Macular Degeneration
16 Mapped ICD-10 Codes
326 HCC
Chronic Kidney Disease, Stage 5
5 Mapped ICD-10 Codes
327 HCC
Chronic Kidney Disease, Severe (Stage 4)
1 Mapped ICD-10 Codes
328 HCC
Chronic Kidney Disease, Moderate (Stage 3B)
1 Mapped ICD-10 Codes
329 HCC
Chronic Kidney Disease, Moderate (Stage 3, Except 3B)
2 Mapped ICD-10 Codes
379 HCC
Pressure Ulcer of Skin with Necrosis Through to Muscle, Tendon, or Bone
25 Mapped ICD-10 Codes
380 HCC
Chronic Ulcer of Skin, Except Pressure, Through to Bone or Muscle
152 Mapped ICD-10 Codes
381 HCC
Pressure Ulcer of Skin with Full Thickness Skin Loss
50 Mapped ICD-10 Codes
382 HCC
Pressure Ulcer of Skin with Partial Thickness Skin Loss
25 Mapped ICD-10 Codes
383 HCC
Chronic Ulcer of Skin, Except Pressure, Not Specified as Through to Bone or Muscle
308 Mapped ICD-10 Codes
385 HCC
Severe Skin Burn
90 Mapped ICD-10 Codes
387 HCC
Pemphigus, Pemphigoid, and Other Specified Autoimmune Skin Disorders
14 Mapped ICD-10 Codes
397 HCC
Major Head Injury with Loss of Consciousness > 1 Hour
76 Mapped ICD-10 Codes
398 HCC
Major Head Injury with Loss of Consciousness < 1 Hour or Unspecified
57 Mapped ICD-10 Codes
399 HCC
Major Head Injury without Loss of Consciousness
189 Mapped ICD-10 Codes
401 HCC
Vertebral Fractures without Spinal Cord Injury
339 Mapped ICD-10 Codes
402 HCC
Hip Fracture/Dislocation
729 Mapped ICD-10 Codes
405 HCC
Traumatic Amputations and Complications
108 Mapped ICD-10 Codes
409 HCC
Amputation Status, Lower Limb/Amputation Complications
44 Mapped ICD-10 Codes
454 HCC
Stem Cell, Including Bone Marrow, Transplant Status/Complications
14 Mapped ICD-10 Codes
463 HCC
Artificial Openings for Feeding or Elimination
41 Mapped ICD-10 Codes