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180 HCC

Quadriplegia

CMS Model V28 33 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 180)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC180 2026 + 1.068
CFD HCC180 2026 + 1.095
CNA HCC180 2026 + 1.125
CND HCC180 2026 + 0.986
CPA HCC180 2026 + 1.311
CPD HCC180 2026 + 1.399
INS HCC180 2026 + 0.735

Mapped ICD-10-CM Diagnoses (33)

The following diagnoses map directly to HCC 180 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
G82.50 Quadriplegia, unspecified Notes ↗
G82.51 Quadriplegia, C1-C4 complete Notes ↗
G82.52 Quadriplegia, C1-C4 incomplete Notes ↗
G82.53 Quadriplegia, C5-C7 complete Notes ↗
G82.54 Quadriplegia, C5-C7 incomplete Notes ↗
R53.2 Functional quadriplegia Notes ↗
S14.111A Complete lesion at C1 level of cervical spinal cord, initial encounter Notes ↗
S14.111D Complete lesion at C1 level of cervical spinal cord, subsequent encounter Notes ↗
S14.111S Complete lesion at C1 level of cervical spinal cord, sequela Notes ↗
S14.112A Complete lesion at C2 level of cervical spinal cord, initial encounter Notes ↗
S14.112D Complete lesion at C2 level of cervical spinal cord, subsequent encounter Notes ↗
S14.112S Complete lesion at C2 level of cervical spinal cord, sequela Notes ↗
S14.113A Complete lesion at C3 level of cervical spinal cord, initial encounter Notes ↗
S14.113D Complete lesion at C3 level of cervical spinal cord, subsequent encounter Notes ↗
S14.113S Complete lesion at C3 level of cervical spinal cord, sequela Notes ↗
S14.114A Complete lesion at C4 level of cervical spinal cord, initial encounter Notes ↗
S14.114D Complete lesion at C4 level of cervical spinal cord, subsequent encounter Notes ↗
S14.114S Complete lesion at C4 level of cervical spinal cord, sequela Notes ↗
S14.115A Complete lesion at C5 level of cervical spinal cord, initial encounter Notes ↗
S14.115D Complete lesion at C5 level of cervical spinal cord, subsequent encounter Notes ↗
S14.115S Complete lesion at C5 level of cervical spinal cord, sequela Notes ↗
S14.116A Complete lesion at C6 level of cervical spinal cord, initial encounter Notes ↗
S14.116D Complete lesion at C6 level of cervical spinal cord, subsequent encounter Notes ↗
S14.116S Complete lesion at C6 level of cervical spinal cord, sequela Notes ↗
S14.117A Complete lesion at C7 level of cervical spinal cord, initial encounter Notes ↗
S14.117D Complete lesion at C7 level of cervical spinal cord, subsequent encounter Notes ↗
S14.117S Complete lesion at C7 level of cervical spinal cord, sequela Notes ↗
S14.118A Complete lesion at C8 level of cervical spinal cord, initial encounter Notes ↗
S14.118D Complete lesion at C8 level of cervical spinal cord, subsequent encounter Notes ↗
S14.118S Complete lesion at C8 level of cervical spinal cord, sequela Notes ↗
S14.119A Complete lesion at unspecified level of cervical spinal cord, initial encounter Notes ↗
S14.119D Complete lesion at unspecified level of cervical spinal cord, subsequent encounter Notes ↗
S14.119S Complete lesion at unspecified level of cervical spinal cord, sequela Notes ↗
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