Menu
109 HCC

Acquired Hemolytic, Aplastic, and Sideroblastic Anemias

CMS Model V28 37 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 109)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC109 2026 + 1.048
CFD HCC109 2026 + 1.541
CNA HCC109 2026 + 1.144
CND HCC109 2026 + 1.815
CPA HCC109 2026 + 1.009
CPD HCC109 2026 + 1.514
INS HCC109 2026 + 0.529

Mapped ICD-10-CM Diagnoses (37)

The following diagnoses map directly to HCC 109 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
D59.10 Autoimmune hemolytic anemia, unspecified Notes ↗
D59.11 Warm autoimmune hemolytic anemia Notes ↗
D59.12 Cold autoimmune hemolytic anemia Notes ↗
D59.13 Mixed type autoimmune hemolytic anemia Notes ↗
D59.19 Other autoimmune hemolytic anemia Notes ↗
D59.30 Hemolytic-uremic syndrome, unspecified Notes ↗
D59.31 Infection-associated hemolytic-uremic syndrome Notes ↗
D59.32 Hereditary hemolytic-uremic syndrome Notes ↗
D59.39 Other hemolytic-uremic syndrome Notes ↗
D59.4 Other nonautoimmune hemolytic anemias Notes ↗
D59.5 Paroxysmal nocturnal hemoglobinuria [Marchiafava-Micheli] Notes ↗
D59.6 Hemoglobinuria due to hemolysis from other external causes Notes ↗
D59.8 Other acquired hemolytic anemias Notes ↗
D59.9 Acquired hemolytic anemia, unspecified Notes ↗
D60.0 Chronic acquired pure red cell aplasia Notes ↗
D60.8 Other acquired pure red cell aplasias Notes ↗
D60.9 Acquired pure red cell aplasia, unspecified Notes ↗
D61.01 Constitutional (pure) red blood cell aplasia Notes ↗
D61.02 Shwachman-Diamond syndrome Notes ↗
D61.03 Fanconi anemia Notes ↗
D61.09 Other constitutional aplastic anemia Notes ↗
D61.2 Aplastic anemia due to other external agents Notes ↗
D61.3 Idiopathic aplastic anemia Notes ↗
D61.818 Other pancytopenia Notes ↗
D61.82 Myelophthisis Notes ↗
D61.89 Other specified aplastic anemias and other bone marrow failure syndromes Notes ↗
D64.0 Hereditary sideroblastic anemia Notes ↗
D64.1 Secondary sideroblastic anemia due to disease Notes ↗
D64.3 Other sideroblastic anemias Notes ↗
D64.4 Congenital dyserythropoietic anemia Notes ↗
P55.0 Rh isoimmunization of newborn Notes ↗
P55.1 ABO isoimmunization of newborn Notes ↗
P55.8 Other hemolytic diseases of newborn Notes ↗
P55.9 Hemolytic disease of newborn, unspecified Notes ↗
P56.0 Hydrops fetalis due to isoimmunization Notes ↗
P56.90 Hydrops fetalis due to unspecified hemolytic disease Notes ↗
P56.99 Hydrops fetalis due to other hemolytic disease Notes ↗
← Back to V28 Categories Directory