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138 HCC

Drug Use Disorder, Mild, Uncomplicated, Except Cannabis

CMS Model V28 14 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 138)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC138 2026 + 0.502
CFD HCC138 2026 + 0.384
CNA HCC138 2026 + 0.423
CND HCC138 2026 + 0.264
CPA HCC138 2026 + 0.355
CPD HCC138 2026 + 0.348
INS HCC138 2026 + 0.297

Mapped ICD-10-CM Diagnoses (14)

The following diagnoses map directly to HCC 138 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
F11.10 Opioid abuse, uncomplicated Notes ↗
F11.11 Opioid abuse, in remission Notes ↗
F13.10 Sedative, hypnotic or anxiolytic abuse, uncomplicated Notes ↗
F13.11 Sedative, hypnotic or anxiolytic abuse, in remission Notes ↗
F14.10 Cocaine abuse, uncomplicated Notes ↗
F14.11 Cocaine abuse, in remission Notes ↗
F15.10 Other stimulant abuse, uncomplicated Notes ↗
F15.11 Other stimulant abuse, in remission Notes ↗
F16.10 Hallucinogen abuse, uncomplicated Notes ↗
F16.11 Hallucinogen abuse, in remission Notes ↗
F18.10 Inhalant abuse, uncomplicated Notes ↗
F18.11 Inhalant abuse, in remission Notes ↗
F19.10 Other psychoactive substance abuse, uncomplicated Notes ↗
F19.11 Other psychoactive substance abuse, in remission Notes ↗
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