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125 HCC

Dementia, Severe

CMS Model V28 18 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 125)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC125 2026 + 0.438
CFD HCC125 2026 + 0.367
CNA HCC125 2026 + 0.341
CND HCC125 2026 + 0.296
CPA HCC125 2026 + 0.401
CPD HCC125 2026 + 0.345
INS HCC125 2026 + 0.000

Mapped ICD-10-CM Diagnoses (18)

The following diagnoses map directly to HCC 125 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
F01.C0 Vascular dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety Notes ↗
F01.C11 Vascular dementia, severe, with agitation Notes ↗
F01.C18 Vascular dementia, severe, with other behavioral disturbance Notes ↗
F01.C2 Vascular dementia, severe, with psychotic disturbance Notes ↗
F01.C3 Vascular dementia, severe, with mood disturbance Notes ↗
F01.C4 Vascular dementia, severe, with anxiety Notes ↗
F02.C0 Dementia in other diseases classified elsewhere, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety Notes ↗
F02.C11 Dementia in other diseases classified elsewhere, severe, with agitation Notes ↗
F02.C18 Dementia in other diseases classified elsewhere, severe, with other behavioral disturbance Notes ↗
F02.C2 Dementia in other diseases classified elsewhere, severe, with psychotic disturbance Notes ↗
F02.C3 Dementia in other diseases classified elsewhere, severe, with mood disturbance Notes ↗
F02.C4 Dementia in other diseases classified elsewhere, severe, with anxiety Notes ↗
F03.C0 Unspecified dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety Notes ↗
F03.C11 Unspecified dementia, severe, with agitation Notes ↗
F03.C18 Unspecified dementia, severe, with other behavioral disturbance Notes ↗
F03.C2 Unspecified dementia, severe, with psychotic disturbance Notes ↗
F03.C3 Unspecified dementia, severe, with mood disturbance Notes ↗
F03.C4 Unspecified dementia, severe, with anxiety Notes ↗
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