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20 HCC

Lung and Other Severe Cancers

CMS Model V28 233 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 20)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC20 2026 + 1.166
CFD HCC20 2026 + 1.173
CNA HCC20 2026 + 1.136
CND HCC20 2026 + 0.978
CPA HCC20 2026 + 1.214
CPD HCC20 2026 + 1.067
INS HCC20 2026 + 0.672

Mapped ICD-10-CM Diagnoses (233)

The following diagnoses map directly to HCC 20 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
C15.3 Malignant neoplasm of upper third of esophagus Notes ↗
C15.4 Malignant neoplasm of middle third of esophagus Notes ↗
C15.5 Malignant neoplasm of lower third of esophagus Notes ↗
C15.8 Malignant neoplasm of overlapping sites of esophagus Notes ↗
C15.9 Malignant neoplasm of esophagus, unspecified Notes ↗
C16.0 Malignant neoplasm of cardia Notes ↗
C16.1 Malignant neoplasm of fundus of stomach Notes ↗
C16.2 Malignant neoplasm of body of stomach Notes ↗
C16.3 Malignant neoplasm of pyloric antrum Notes ↗
C16.4 Malignant neoplasm of pylorus Notes ↗
C16.5 Malignant neoplasm of lesser curvature of stomach, unspecified Notes ↗
C16.6 Malignant neoplasm of greater curvature of stomach, unspecified Notes ↗
C16.8 Malignant neoplasm of overlapping sites of stomach Notes ↗
C16.9 Malignant neoplasm of stomach, unspecified Notes ↗
C17.0 Malignant neoplasm of duodenum Notes ↗
C17.1 Malignant neoplasm of jejunum Notes ↗
C17.2 Malignant neoplasm of ileum Notes ↗
C17.3 Meckel's diverticulum, malignant Notes ↗
C17.8 Malignant neoplasm of overlapping sites of small intestine Notes ↗
C17.9 Malignant neoplasm of small intestine, unspecified Notes ↗
C22.0 Liver cell carcinoma Notes ↗
C22.1 Intrahepatic bile duct carcinoma Notes ↗
C22.2 Hepatoblastoma Notes ↗
C22.3 Angiosarcoma of liver Notes ↗
C22.4 Other sarcomas of liver Notes ↗
C22.7 Other specified carcinomas of liver Notes ↗
C22.8 Malignant neoplasm of liver, primary, unspecified as to type Notes ↗
C22.9 Malignant neoplasm of liver, not specified as primary or secondary Notes ↗
C23 Malignant neoplasm of gallbladder Notes ↗
C24.0 Malignant neoplasm of extrahepatic bile duct Notes ↗
C24.1 Malignant neoplasm of ampulla of Vater Notes ↗
C24.8 Malignant neoplasm of overlapping sites of biliary tract Notes ↗
C24.9 Malignant neoplasm of biliary tract, unspecified Notes ↗
C25.0 Malignant neoplasm of head of pancreas Notes ↗
C25.1 Malignant neoplasm of body of pancreas Notes ↗
C25.2 Malignant neoplasm of tail of pancreas Notes ↗
C25.3 Malignant neoplasm of pancreatic duct Notes ↗
C25.4 Malignant neoplasm of endocrine pancreas Notes ↗
C25.7 Malignant neoplasm of other parts of pancreas Notes ↗
C25.8 Malignant neoplasm of overlapping sites of pancreas Notes ↗
C25.9 Malignant neoplasm of pancreas, unspecified Notes ↗
C33 Malignant neoplasm of trachea Notes ↗
C34.00 Malignant neoplasm of unspecified main bronchus Notes ↗
C34.01 Malignant neoplasm of right main bronchus Notes ↗
C34.02 Malignant neoplasm of left main bronchus Notes ↗
C34.10 Malignant neoplasm of upper lobe, unspecified bronchus or lung Notes ↗
C34.11 Malignant neoplasm of upper lobe, right bronchus or lung Notes ↗
C34.12 Malignant neoplasm of upper lobe, left bronchus or lung Notes ↗
C34.2 Malignant neoplasm of middle lobe, bronchus or lung Notes ↗
C34.30 Malignant neoplasm of lower lobe, unspecified bronchus or lung Notes ↗
C34.31 Malignant neoplasm of lower lobe, right bronchus or lung Notes ↗
C34.32 Malignant neoplasm of lower lobe, left bronchus or lung Notes ↗
C34.80 Malignant neoplasm of overlapping sites of unspecified bronchus and lung Notes ↗
C34.81 Malignant neoplasm of overlapping sites of right bronchus and lung Notes ↗
C34.82 Malignant neoplasm of overlapping sites of left bronchus and lung Notes ↗
C34.90 Malignant neoplasm of unspecified part of unspecified bronchus or lung Notes ↗
C34.91 Malignant neoplasm of unspecified part of right bronchus or lung Notes ↗
C34.92 Malignant neoplasm of unspecified part of left bronchus or lung Notes ↗
C38.0 Malignant neoplasm of heart Notes ↗
C38.4 Malignant neoplasm of pleura Notes ↗
C48.0 Malignant neoplasm of retroperitoneum Notes ↗
C48.1 Malignant neoplasm of specified parts of peritoneum Notes ↗
C48.2 Malignant neoplasm of peritoneum, unspecified Notes ↗
C48.8 Malignant neoplasm of overlapping sites of retroperitoneum and peritoneum Notes ↗
C70.0 Malignant neoplasm of cerebral meninges Notes ↗
C70.1 Malignant neoplasm of spinal meninges Notes ↗
C70.9 Malignant neoplasm of meninges, unspecified Notes ↗
C71.0 Malignant neoplasm of cerebrum, except lobes and ventricles Notes ↗
C71.1 Malignant neoplasm of frontal lobe Notes ↗
C71.2 Malignant neoplasm of temporal lobe Notes ↗
C71.3 Malignant neoplasm of parietal lobe Notes ↗
C71.4 Malignant neoplasm of occipital lobe Notes ↗
C71.5 Malignant neoplasm of cerebral ventricle Notes ↗
C71.6 Malignant neoplasm of cerebellum Notes ↗
C71.7 Malignant neoplasm of brain stem Notes ↗
C71.8 Malignant neoplasm of overlapping sites of brain Notes ↗
C71.9 Malignant neoplasm of brain, unspecified Notes ↗
C72.0 Malignant neoplasm of spinal cord Notes ↗
C72.1 Malignant neoplasm of cauda equina Notes ↗
C72.20 Malignant neoplasm of unspecified olfactory nerve Notes ↗
C72.21 Malignant neoplasm of right olfactory nerve Notes ↗
C72.22 Malignant neoplasm of left olfactory nerve Notes ↗
C72.30 Malignant neoplasm of unspecified optic nerve Notes ↗
C72.31 Malignant neoplasm of right optic nerve Notes ↗
C72.32 Malignant neoplasm of left optic nerve Notes ↗
C72.40 Malignant neoplasm of unspecified acoustic nerve Notes ↗
C72.41 Malignant neoplasm of right acoustic nerve Notes ↗
C72.42 Malignant neoplasm of left acoustic nerve Notes ↗
C72.50 Malignant neoplasm of unspecified cranial nerve Notes ↗
C72.59 Malignant neoplasm of other cranial nerves Notes ↗
C72.9 Malignant neoplasm of central nervous system, unspecified Notes ↗
C75.1 Malignant neoplasm of pituitary gland Notes ↗
C75.2 Malignant neoplasm of craniopharyngeal duct Notes ↗
C75.3 Malignant neoplasm of pineal gland Notes ↗
C77.3 Secondary and unspecified malignant neoplasm of axilla and upper limb lymph nodes Notes ↗
C83.10 Mantle cell lymphoma, unspecified site Notes ↗
C83.11 Mantle cell lymphoma, lymph nodes of head, face, and neck Notes ↗
C83.12 Mantle cell lymphoma, intrathoracic lymph nodes Notes ↗
C83.13 Mantle cell lymphoma, intra-abdominal lymph nodes Notes ↗
C83.14 Mantle cell lymphoma, lymph nodes of axilla and upper limb Notes ↗
C83.15 Mantle cell lymphoma, lymph nodes of inguinal region and lower limb Notes ↗
C83.16 Mantle cell lymphoma, intrapelvic lymph nodes Notes ↗
C83.17 Mantle cell lymphoma, spleen Notes ↗
C83.18 Mantle cell lymphoma, lymph nodes of multiple sites Notes ↗
C83.19 Mantle cell lymphoma, extranodal and solid organ sites Notes ↗
C83.1A Mantle cell lymphoma, in remission Notes ↗
C83.30 Diffuse large B-cell lymphoma, unspecified site Notes ↗
C83.31 Diffuse large B-cell lymphoma, lymph nodes of head, face, and neck Notes ↗
C83.32 Diffuse large B-cell lymphoma, intrathoracic lymph nodes Notes ↗
C83.33 Diffuse large B-cell lymphoma, intra-abdominal lymph nodes Notes ↗
C83.34 Diffuse large B-cell lymphoma, lymph nodes of axilla and upper limb Notes ↗
C83.35 Diffuse large B-cell lymphoma, lymph nodes of inguinal region and lower limb Notes ↗
C83.36 Diffuse large B-cell lymphoma, intrapelvic lymph nodes Notes ↗
C83.37 Diffuse large B-cell lymphoma, spleen Notes ↗
C83.38 Diffuse large B-cell lymphoma, lymph nodes of multiple sites Notes ↗
C83.390 Primary central nervous system lymphoma Notes ↗
C83.398 Diffuse large B-cell lymphoma of other extranodal and solid organ sites Notes ↗
C83.3A Diffuse large B-cell lymphoma, in remission Notes ↗
C83.50 Lymphoblastic (diffuse) lymphoma, unspecified site Notes ↗
C83.51 Lymphoblastic (diffuse) lymphoma, lymph nodes of head, face, and neck Notes ↗
C83.52 Lymphoblastic (diffuse) lymphoma, intrathoracic lymph nodes Notes ↗
C83.53 Lymphoblastic (diffuse) lymphoma, intra-abdominal lymph nodes Notes ↗
C83.54 Lymphoblastic (diffuse) lymphoma, lymph nodes of axilla and upper limb Notes ↗
C83.55 Lymphoblastic (diffuse) lymphoma, lymph nodes of inguinal region and lower limb Notes ↗
C83.56 Lymphoblastic (diffuse) lymphoma, intrapelvic lymph nodes Notes ↗
C83.57 Lymphoblastic (diffuse) lymphoma, spleen Notes ↗
C83.58 Lymphoblastic (diffuse) lymphoma, lymph nodes of multiple sites Notes ↗
C83.59 Lymphoblastic (diffuse) lymphoma, extranodal and solid organ sites Notes ↗
C83.5A Lymphoblastic (diffuse) lymphoma, in remission Notes ↗
C83.70 Burkitt lymphoma, unspecified site Notes ↗
C83.71 Burkitt lymphoma, lymph nodes of head, face, and neck Notes ↗
C83.72 Burkitt lymphoma, intrathoracic lymph nodes Notes ↗
C83.73 Burkitt lymphoma, intra-abdominal lymph nodes Notes ↗
C83.74 Burkitt lymphoma, lymph nodes of axilla and upper limb Notes ↗
C83.75 Burkitt lymphoma, lymph nodes of inguinal region and lower limb Notes ↗
C83.76 Burkitt lymphoma, intrapelvic lymph nodes Notes ↗
C83.77 Burkitt lymphoma, spleen Notes ↗
C83.78 Burkitt lymphoma, lymph nodes of multiple sites Notes ↗
C83.79 Burkitt lymphoma, extranodal and solid organ sites Notes ↗
C83.7A Burkitt lymphoma, in remission Notes ↗
C84.00 Mycosis fungoides, unspecified site Notes ↗
C84.01 Mycosis fungoides, lymph nodes of head, face, and neck Notes ↗
C84.02 Mycosis fungoides, intrathoracic lymph nodes Notes ↗
C84.03 Mycosis fungoides, intra-abdominal lymph nodes Notes ↗
C84.04 Mycosis fungoides, lymph nodes of axilla and upper limb Notes ↗
C84.05 Mycosis fungoides, lymph nodes of inguinal region and lower limb Notes ↗
C84.06 Mycosis fungoides, intrapelvic lymph nodes Notes ↗
C84.07 Mycosis fungoides, spleen Notes ↗
C84.08 Mycosis fungoides, lymph nodes of multiple sites Notes ↗
C84.09 Mycosis fungoides, extranodal and solid organ sites Notes ↗
C84.0A Mycosis fungoides, in remission Notes ↗
C84.60 Anaplastic large cell lymphoma, ALK-positive, unspecified site Notes ↗
C84.61 Anaplastic large cell lymphoma, ALK-positive, lymph nodes of head, face, and neck Notes ↗
C84.62 Anaplastic large cell lymphoma, ALK-positive, intrathoracic lymph nodes Notes ↗
C84.63 Anaplastic large cell lymphoma, ALK-positive, intra-abdominal lymph nodes Notes ↗
C84.64 Anaplastic large cell lymphoma, ALK-positive, lymph nodes of axilla and upper limb Notes ↗
C84.65 Anaplastic large cell lymphoma, ALK-positive, lymph nodes of inguinal region and lower limb Notes ↗
C84.66 Anaplastic large cell lymphoma, ALK-positive, intrapelvic lymph nodes Notes ↗
C84.67 Anaplastic large cell lymphoma, ALK-positive, spleen Notes ↗
C84.68 Anaplastic large cell lymphoma, ALK-positive, lymph nodes of multiple sites Notes ↗
C84.69 Anaplastic large cell lymphoma, ALK-positive, extranodal and solid organ sites Notes ↗
C84.6A Anaplastic large cell lymphoma, ALK-positive, in remission Notes ↗
C84.90 Mature T/NK-cell lymphomas, unspecified, unspecified site Notes ↗
C84.91 Mature T/NK-cell lymphomas, unspecified, lymph nodes of head, face, and neck Notes ↗
C84.92 Mature T/NK-cell lymphomas, unspecified, intrathoracic lymph nodes Notes ↗
C84.93 Mature T/NK-cell lymphomas, unspecified, intra-abdominal lymph nodes Notes ↗
C84.94 Mature T/NK-cell lymphomas, unspecified, lymph nodes of axilla and upper limb Notes ↗
C84.95 Mature T/NK-cell lymphomas, unspecified, lymph nodes of inguinal region and lower limb Notes ↗
C84.96 Mature T/NK-cell lymphomas, unspecified, intrapelvic lymph nodes Notes ↗
C84.97 Mature T/NK-cell lymphomas, unspecified, spleen Notes ↗
C84.98 Mature T/NK-cell lymphomas, unspecified, lymph nodes of multiple sites Notes ↗
C84.99 Mature T/NK-cell lymphomas, unspecified, extranodal and solid organ sites Notes ↗
C84.9A Mature T/NK-cell lymphomas, unspecified, in remission Notes ↗
C84.A0 Cutaneous T-cell lymphoma, unspecified, unspecified site Notes ↗
C84.A1 Cutaneous T-cell lymphoma, unspecified lymph nodes of head, face, and neck Notes ↗
C84.A2 Cutaneous T-cell lymphoma, unspecified, intrathoracic lymph nodes Notes ↗
C84.A3 Cutaneous T-cell lymphoma, unspecified, intra-abdominal lymph nodes Notes ↗
C84.A4 Cutaneous T-cell lymphoma, unspecified, lymph nodes of axilla and upper limb Notes ↗
C84.A5 Cutaneous T-cell lymphoma, unspecified, lymph nodes of inguinal region and lower limb Notes ↗
C84.A6 Cutaneous T-cell lymphoma, unspecified, intrapelvic lymph nodes Notes ↗
C84.A7 Cutaneous T-cell lymphoma, unspecified, spleen Notes ↗
C84.A8 Cutaneous T-cell lymphoma, unspecified, lymph nodes of multiple sites Notes ↗
C84.A9 Cutaneous T-cell lymphoma, unspecified, extranodal and solid organ sites Notes ↗
C84.AA Cutaneous T-cell lymphoma, unspecified, in remission Notes ↗
C84.Z0 Other mature T/NK-cell lymphomas, unspecified site Notes ↗
C84.Z1 Other mature T/NK-cell lymphomas, lymph nodes of head, face, and neck Notes ↗
C84.Z2 Other mature T/NK-cell lymphomas, intrathoracic lymph nodes Notes ↗
C84.Z3 Other mature T/NK-cell lymphomas, intra-abdominal lymph nodes Notes ↗
C84.Z4 Other mature T/NK-cell lymphomas, lymph nodes of axilla and upper limb Notes ↗
C84.Z5 Other mature T/NK-cell lymphomas, lymph nodes of inguinal region and lower limb Notes ↗
C84.Z6 Other mature T/NK-cell lymphomas, intrapelvic lymph nodes Notes ↗
C84.Z7 Other mature T/NK-cell lymphomas, spleen Notes ↗
C84.Z8 Other mature T/NK-cell lymphomas, lymph nodes of multiple sites Notes ↗
C84.Z9 Other mature T/NK-cell lymphomas, extranodal and solid organ sites Notes ↗
C84.ZA Other mature T/NK-cell lymphomas, in remission Notes ↗
C86.00 Extranodal NK/T-cell lymphoma, nasal type not having achieved remission Notes ↗
C86.01 Extranodal NK/T-cell lymphoma, nasal type, in remission Notes ↗
C86.10 Hepatosplenic T-cell lymphoma not having achieved remission Notes ↗
C86.11 Hepatosplenic T-cell lymphoma, in remission Notes ↗
C86.20 Enteropathy-type (intestinal) T-cell lymphoma not having achieved remission Notes ↗
C86.21 Enteropathy-type (intestinal) T-cell lymphoma, in remission Notes ↗
C86.60 Primary cutaneous CD30-positive T-cell proliferations not having achieved remission Notes ↗
C86.61 Primary cutaneous CD30-positive T-cell proliferations, in remission Notes ↗
C91.A0 Mature B-cell leukemia Burkitt-type not having achieved remission Notes ↗
C91.A1 Mature B-cell leukemia Burkitt-type, in remission Notes ↗
C91.A2 Mature B-cell leukemia Burkitt-type, in relapse Notes ↗
C92.20 Atypical chronic myeloid leukemia, BCR/ABL-negative, not having achieved remission Notes ↗
C92.21 Atypical chronic myeloid leukemia, BCR/ABL-negative, in remission Notes ↗
C92.22 Atypical chronic myeloid leukemia, BCR/ABL-negative, in relapse Notes ↗
C92.90 Myeloid leukemia, unspecified, not having achieved remission Notes ↗
C92.91 Myeloid leukemia, unspecified in remission Notes ↗
C92.92 Myeloid leukemia, unspecified in relapse Notes ↗
C92.Z0 Other myeloid leukemia not having achieved remission Notes ↗
C92.Z1 Other myeloid leukemia, in remission Notes ↗
C92.Z2 Other myeloid leukemia, in relapse Notes ↗
C93.10 Chronic myelomonocytic leukemia not having achieved remission Notes ↗
C93.11 Chronic myelomonocytic leukemia, in remission Notes ↗
C93.12 Chronic myelomonocytic leukemia, in relapse Notes ↗
C93.30 Juvenile myelomonocytic leukemia, not having achieved remission Notes ↗
C93.31 Juvenile myelomonocytic leukemia, in remission Notes ↗
C93.32 Juvenile myelomonocytic leukemia, in relapse Notes ↗
C93.90 Monocytic leukemia, unspecified, not having achieved remission Notes ↗
C93.91 Monocytic leukemia, unspecified in remission Notes ↗
C93.92 Monocytic leukemia, unspecified in relapse Notes ↗
C93.Z0 Other monocytic leukemia, not having achieved remission Notes ↗
C93.Z1 Other monocytic leukemia, in remission Notes ↗
C93.Z2 Other monocytic leukemia, in relapse Notes ↗
C94.30 Mast cell leukemia not having achieved remission Notes ↗
C94.31 Mast cell leukemia, in remission Notes ↗
C94.32 Mast cell leukemia, in relapse Notes ↗
C94.80 Other specified leukemias not having achieved remission Notes ↗
C94.81 Other specified leukemias, in remission Notes ↗
C94.82 Other specified leukemias, in relapse Notes ↗
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