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114 HCC

Common Variable and Combined Immunodeficiencies

CMS Model V28 18 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 114)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC114 2026 + 2.016
CFD HCC114 2026 + 2.670
CNA HCC114 2026 + 2.262
CND HCC114 2026 + 2.598
CPA HCC114 2026 + 2.137
CPD HCC114 2026 + 2.789
INS HCC114 2026 + 0.691

Mapped ICD-10-CM Diagnoses (18)

The following diagnoses map directly to HCC 114 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
D81.0 Severe combined immunodeficiency [SCID] with reticular dysgenesis Notes ↗
D81.1 Severe combined immunodeficiency [SCID] with low T- and B-cell numbers Notes ↗
D81.2 Severe combined immunodeficiency [SCID] with low or normal B-cell numbers Notes ↗
D81.30 Adenosine deaminase deficiency, unspecified Notes ↗
D81.31 Severe combined immunodeficiency due to adenosine deaminase deficiency Notes ↗
D81.32 Adenosine deaminase 2 deficiency Notes ↗
D81.39 Other adenosine deaminase deficiency Notes ↗
D81.5 Purine nucleoside phosphorylase [PNP] deficiency Notes ↗
D81.6 Major histocompatibility complex class I deficiency Notes ↗
D81.7 Major histocompatibility complex class II deficiency Notes ↗
D81.82 Activated Phosphoinositide 3-kinase Delta Syndrome [APDS] Notes ↗
D81.89 Other combined immunodeficiencies Notes ↗
D81.9 Combined immunodeficiency, unspecified Notes ↗
D83.0 Common variable immunodeficiency with predominant abnormalities of B-cell numbers and function Notes ↗
D83.1 Common variable immunodeficiency with predominant immunoregulatory T-cell disorders Notes ↗
D83.2 Common variable immunodeficiency with autoantibodies to B- or T-cells Notes ↗
D83.8 Other common variable immunodeficiencies Notes ↗
D83.9 Common variable immunodeficiency, unspecified Notes ↗
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