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108 HCC

Sickle Cell Disorders, Except Sickle Cell Anemia (Hb-SS) and Thalassemia Beta Zero; Beta Thalassemia Major

CMS Model V28 39 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 108)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC108 2026 + 0.103
CFD HCC108 2026 + 0.408
CNA HCC108 2026 + 0.146
CND HCC108 2026 + 0.386
CPA HCC108 2026 + 0.303
CPD HCC108 2026 + 0.416
INS HCC108 2026 + 0.098

Mapped ICD-10-CM Diagnoses (39)

The following diagnoses map directly to HCC 108 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
D56.1 Beta thalassemia Notes ↗
D56.2 Delta-beta thalassemia Notes ↗
D56.5 Hemoglobin E-beta thalassemia Notes ↗
D57.20 Sickle-cell/Hb-C disease without crisis Notes ↗
D57.211 Sickle-cell/Hb-C disease with acute chest syndrome Notes ↗
D57.212 Sickle-cell/Hb-C disease with splenic sequestration Notes ↗
D57.213 Sickle-cell/Hb-C disease with cerebral vascular involvement Notes ↗
D57.214 Sickle-cell/Hb-C disease with dactylitis Notes ↗
D57.218 Sickle-cell/Hb-C disease with crisis with other specified complication Notes ↗
D57.219 Sickle-cell/Hb-C disease with crisis, unspecified Notes ↗
D57.40 Sickle-cell thalassemia without crisis Notes ↗
D57.411 Sickle-cell thalassemia, unspecified, with acute chest syndrome Notes ↗
D57.412 Sickle-cell thalassemia, unspecified, with splenic sequestration Notes ↗
D57.413 Sickle-cell thalassemia, unspecified, with cerebral vascular involvement Notes ↗
D57.414 Sickle-cell thalassemia, unspecified, with dactylitis Notes ↗
D57.418 Sickle-cell thalassemia, unspecified, with crisis with other specified complication Notes ↗
D57.419 Sickle-cell thalassemia, unspecified, with crisis Notes ↗
D57.44 Sickle-cell thalassemia beta plus without crisis Notes ↗
D57.451 Sickle-cell thalassemia beta plus with acute chest syndrome Notes ↗
D57.452 Sickle-cell thalassemia beta plus with splenic sequestration Notes ↗
D57.453 Sickle-cell thalassemia beta plus with cerebral vascular involvement Notes ↗
D57.454 Sickle-cell thalassemia beta plus with dactylitis Notes ↗
D57.458 Sickle-cell thalassemia beta plus with crisis with other specified complication Notes ↗
D57.459 Sickle-cell thalassemia beta plus with crisis, unspecified Notes ↗
D57.80 Other sickle-cell disorders without crisis Notes ↗
D57.811 Other sickle-cell disorders with acute chest syndrome Notes ↗
D57.812 Other sickle-cell disorders with splenic sequestration Notes ↗
D57.813 Other sickle-cell disorders with cerebral vascular involvement Notes ↗
D57.814 Other sickle-cell disorders with dactylitis Notes ↗
D57.818 Other sickle-cell disorders with crisis with other specified complication Notes ↗
D57.819 Other sickle-cell disorders with crisis, unspecified Notes ↗
H36.811 Nonproliferative sickle-cell retinopathy, right eye Notes ↗
H36.812 Nonproliferative sickle-cell retinopathy, left eye Notes ↗
H36.813 Nonproliferative sickle-cell retinopathy, bilateral Notes ↗
H36.819 Nonproliferative sickle-cell retinopathy, unspecified eye Notes ↗
H36.821 Proliferative sickle-cell retinopathy, right eye Notes ↗
H36.822 Proliferative sickle-cell retinopathy, left eye Notes ↗
H36.823 Proliferative sickle-cell retinopathy, bilateral Notes ↗
H36.829 Proliferative sickle-cell retinopathy, unspecified eye Notes ↗
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