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181 HCC

Paraplegia

CMS Model V28 18 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 181)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC181 2026 + 0.859
CFD HCC181 2026 + 0.832
CNA HCC181 2026 + 0.942
CND HCC181 2026 + 0.648
CPA HCC181 2026 + 0.883
CPD HCC181 2026 + 0.852
INS HCC181 2026 + 0.563

Mapped ICD-10-CM Diagnoses (18)

The following diagnoses map directly to HCC 181 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
G82.20 Paraplegia, unspecified Notes ↗
G82.21 Paraplegia, complete Notes ↗
G82.22 Paraplegia, incomplete Notes ↗
S24.111A Complete lesion at T1 level of thoracic spinal cord, initial encounter Notes ↗
S24.111D Complete lesion at T1 level of thoracic spinal cord, subsequent encounter Notes ↗
S24.111S Complete lesion at T1 level of thoracic spinal cord, sequela Notes ↗
S24.112A Complete lesion at T2-T6 level of thoracic spinal cord, initial encounter Notes ↗
S24.112D Complete lesion at T2-T6 level of thoracic spinal cord, subsequent encounter Notes ↗
S24.112S Complete lesion at T2-T6 level of thoracic spinal cord, sequela Notes ↗
S24.113A Complete lesion at T7-T10 level of thoracic spinal cord, initial encounter Notes ↗
S24.113D Complete lesion at T7-T10 level of thoracic spinal cord, subsequent encounter Notes ↗
S24.113S Complete lesion at T7-T10 level of thoracic spinal cord, sequela Notes ↗
S24.114A Complete lesion at T11-T12 level of thoracic spinal cord, initial encounter Notes ↗
S24.114D Complete lesion at T11-T12 level of thoracic spinal cord, subsequent encounter Notes ↗
S24.114S Complete lesion at T11-T12 level of thoracic spinal cord, sequela Notes ↗
S24.119A Complete lesion at unspecified level of thoracic spinal cord, initial encounter Notes ↗
S24.119D Complete lesion at unspecified level of thoracic spinal cord, subsequent encounter Notes ↗
S24.119S Complete lesion at unspecified level of thoracic spinal cord, sequela Notes ↗
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