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202 HCC

Coma, Brain Compression/Anoxic Damage

CMS Model V28 61 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 202)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC202 2026 + 0.721
CFD HCC202 2026 + 0.279
CNA HCC202 2026 + 0.543
CND HCC202 2026 + 0.238
CPA HCC202 2026 + 0.549
CPD HCC202 2026 + 0.309
INS HCC202 2026 + 0.097

Mapped ICD-10-CM Diagnoses (61)

The following diagnoses map directly to HCC 202 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
E03.5 Myxedema coma Notes ↗
G93.1 Anoxic brain damage, not elsewhere classified Notes ↗
G93.5 Compression of brain Notes ↗
G93.6 Cerebral edema Notes ↗
P91.0 Neonatal cerebral ischemia Notes ↗
P91.1 Acquired periventricular cysts of newborn Notes ↗
P91.2 Neonatal cerebral leukomalacia Notes ↗
P91.3 Neonatal cerebral irritability Notes ↗
P91.4 Neonatal cerebral depression Notes ↗
P91.5 Neonatal coma Notes ↗
P91.60 Hypoxic ischemic encephalopathy [HIE], unspecified Notes ↗
P91.61 Mild hypoxic ischemic encephalopathy [HIE] Notes ↗
P91.62 Moderate hypoxic ischemic encephalopathy [HIE] Notes ↗
P91.63 Severe hypoxic ischemic encephalopathy [HIE] Notes ↗
P91.811 Neonatal encephalopathy in diseases classified elsewhere Notes ↗
P91.819 Neonatal encephalopathy, unspecified Notes ↗
P91.88 Other specified disturbances of cerebral status of newborn Notes ↗
P91.9 Disturbance of cerebral status of newborn, unspecified Notes ↗
R40.20 Unspecified coma Notes ↗
R40.2110 Coma scale, eyes open, never, unspecified time Notes ↗
R40.2111 Coma scale, eyes open, never, in the field [EMT or ambulance] Notes ↗
R40.2112 Coma scale, eyes open, never, at arrival to emergency department Notes ↗
R40.2113 Coma scale, eyes open, never, at hospital admission Notes ↗
R40.2114 Coma scale, eyes open, never, 24 hours or more after hospital admission Notes ↗
R40.2120 Coma scale, eyes open, to pain, unspecified time Notes ↗
R40.2121 Coma scale, eyes open, to pain, in the field [EMT or ambulance] Notes ↗
R40.2122 Coma scale, eyes open, to pain, at arrival to emergency department Notes ↗
R40.2123 Coma scale, eyes open, to pain, at hospital admission Notes ↗
R40.2124 Coma scale, eyes open, to pain, 24 hours or more after hospital admission Notes ↗
R40.2210 Coma scale, best verbal response, none, unspecified time Notes ↗
R40.2211 Coma scale, best verbal response, none, in the field [EMT or ambulance] Notes ↗
R40.2212 Coma scale, best verbal response, none, at arrival to emergency department Notes ↗
R40.2213 Coma scale, best verbal response, none, at hospital admission Notes ↗
R40.2214 Coma scale, best verbal response, none, 24 hours or more after hospital admission Notes ↗
R40.2220 Coma scale, best verbal response, incomprehensible words, unspecified time Notes ↗
R40.2221 Coma scale, best verbal response, incomprehensible words, in the field [EMT or ambulance] Notes ↗
R40.2222 Coma scale, best verbal response, incomprehensible words, at arrival to emergency department Notes ↗
R40.2223 Coma scale, best verbal response, incomprehensible words, at hospital admission Notes ↗
R40.2224 Coma scale, best verbal response, incomprehensible words, 24 hours or more after hospital admission Notes ↗
R40.2310 Coma scale, best motor response, none, unspecified time Notes ↗
R40.2311 Coma scale, best motor response, none, in the field [EMT or ambulance] Notes ↗
R40.2312 Coma scale, best motor response, none, at arrival to emergency department Notes ↗
R40.2313 Coma scale, best motor response, none, at hospital admission Notes ↗
R40.2314 Coma scale, best motor response, none, 24 hours or more after hospital admission Notes ↗
R40.2320 Coma scale, best motor response, extension, unspecified time Notes ↗
R40.2321 Coma scale, best motor response, extension, in the field [EMT or ambulance] Notes ↗
R40.2322 Coma scale, best motor response, extension, at arrival to emergency department Notes ↗
R40.2323 Coma scale, best motor response, extension, at hospital admission Notes ↗
R40.2324 Coma scale, best motor response, extension, 24 hours or more after hospital admission Notes ↗
R40.2430 Glasgow coma scale score 3-8, unspecified time Notes ↗
R40.2431 Glasgow coma scale score 3-8, in the field [EMT or ambulance] Notes ↗
R40.2432 Glasgow coma scale score 3-8, at arrival to emergency department Notes ↗
R40.2433 Glasgow coma scale score 3-8, at hospital admission Notes ↗
R40.2434 Glasgow coma scale score 3-8, 24 hours or more after hospital admission Notes ↗
R40.2440 Other coma, without documented Glasgow coma scale score, or with partial score reported, unspecified time Notes ↗
R40.2441 Other coma, without documented Glasgow coma scale score, or with partial score reported, in the field [EMT or ambulance] Notes ↗
R40.2442 Other coma, without documented Glasgow coma scale score, or with partial score reported, at arrival to emergency department Notes ↗
R40.2443 Other coma, without documented Glasgow coma scale score, or with partial score reported, at hospital admission Notes ↗
R40.2444 Other coma, without documented Glasgow coma scale score, or with partial score reported, 24 hours or more after hospital admission Notes ↗
R40.2A Nontraumatic coma due to underlying condition Notes ↗
R40.3 Persistent vegetative state Notes ↗
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