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115 HCC

Specified Immunodeficiencies and White Blood Cell Disorders

CMS Model V28 19 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 115)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC115 2026 + 0.438
CFD HCC115 2026 + 0.498
CNA HCC115 2026 + 0.565
CND HCC115 2026 + 0.692
CPA HCC115 2026 + 0.302
CPD HCC115 2026 + 0.613
INS HCC115 2026 + 0.691

Mapped ICD-10-CM Diagnoses (19)

The following diagnoses map directly to HCC 115 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
D70.0 Congenital agranulocytosis Notes ↗
D70.4 Cyclic neutropenia Notes ↗
D71 Functional disorders of polymorphonuclear neutrophils Notes ↗
D71.1 Leukocyte adhesion deficiency Notes ↗
D71.8 Other functional disorders of polymorphonuclear neutrophils Notes ↗
D71.9 Functional disorders of polymorphonuclear neutrophils, unspecified Notes ↗
D72.0 Genetic anomalies of leukocytes Notes ↗
D76.1 Hemophagocytic lymphohistiocytosis Notes ↗
D76.3 Other histiocytosis syndromes Notes ↗
D80.0 Hereditary hypogammaglobulinemia Notes ↗
D80.2 Selective deficiency of immunoglobulin A [IgA] Notes ↗
D80.3 Selective deficiency of immunoglobulin G [IgG] subclasses Notes ↗
D80.4 Selective deficiency of immunoglobulin M [IgM] Notes ↗
D80.5 Immunodeficiency with increased immunoglobulin M [IgM] Notes ↗
D81.4 Nezelof's syndrome Notes ↗
D82.0 Wiskott-Aldrich syndrome Notes ↗
D82.1 Di George's syndrome Notes ↗
D84.1 Defects in the complement system Notes ↗
D89.84 IgG4-related disease Notes ↗
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