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197 HCC

Muscular Dystrophy

CMS Model V28 21 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 197)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC197 2026 + 0.369
CFD HCC197 2026 + 0.681
CNA HCC197 2026 + 0.426
CND HCC197 2026 + 0.632
CPA HCC197 2026 + 0.162
CPD HCC197 2026 + 0.145
INS HCC197 2026 + 0.292

Mapped ICD-10-CM Diagnoses (21)

The following diagnoses map directly to HCC 197 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
G71.00 Muscular dystrophy, unspecified Notes ↗
G71.01 Duchenne or Becker muscular dystrophy Notes ↗
G71.02 Facioscapulohumeral muscular dystrophy Notes ↗
G71.031 Autosomal dominant limb girdle muscular dystrophy Notes ↗
G71.032 Autosomal recessive limb girdle muscular dystrophy due to calpain-3 dysfunction Notes ↗
G71.033 Limb girdle muscular dystrophy due to dysferlin dysfunction Notes ↗
G71.0340 Limb girdle muscular dystrophy due to sarcoglycan dysfunction, unspecified Notes ↗
G71.0341 Limb girdle muscular dystrophy due to alpha sarcoglycan dysfunction Notes ↗
G71.0342 Limb girdle muscular dystrophy due to beta sarcoglycan dysfunction Notes ↗
G71.0349 Limb girdle muscular dystrophy due to other sarcoglycan dysfunction Notes ↗
G71.035 Limb girdle muscular dystrophy due to anoctamin-5 dysfunction Notes ↗
G71.036 Limb girdle muscular dystrophy due to fukutin related protein dysfunction Notes ↗
G71.038 Other limb girdle muscular dystrophy Notes ↗
G71.039 Limb girdle muscular dystrophy, unspecified Notes ↗
G71.09 Other specified muscular dystrophies Notes ↗
G71.11 Myotonic muscular dystrophy Notes ↗
G71.20 Congenital myopathy, unspecified Notes ↗
G71.21 Nemaline myopathy Notes ↗
G71.220 X-linked myotubular myopathy Notes ↗
G71.228 Other centronuclear myopathy Notes ↗
G71.29 Other congenital myopathy Notes ↗
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