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211 HCC

Respirator Dependence/Tracheostomy Status/Complications

CMS Model V28 13 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 211)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC211 2026 + 1.981
CFD HCC211 2026 + 1.418
CNA HCC211 2026 + 0.879
CND HCC211 2026 + 0.878
CPA HCC211 2026 + 1.022
CPD HCC211 2026 + 0.590
INS HCC211 2026 + 1.570

Mapped ICD-10-CM Diagnoses (13)

The following diagnoses map directly to HCC 211 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
J95.00 Unspecified tracheostomy complication Notes ↗
J95.01 Hemorrhage from tracheostomy stoma Notes ↗
J95.02 Infection of tracheostomy stoma Notes ↗
J95.03 Malfunction of tracheostomy stoma Notes ↗
J95.04 Tracheo-esophageal fistula following tracheostomy Notes ↗
J95.09 Other tracheostomy complication Notes ↗
J95.850 Mechanical complication of respirator Notes ↗
J95.851 Ventilator associated pneumonia Notes ↗
J95.859 Other complication of respirator [ventilator] Notes ↗
Z43.0 Encounter for attention to tracheostomy Notes ↗
Z93.0 Tracheostomy status Notes ↗
Z99.11 Dependence on respirator [ventilator] status Notes ↗
Z99.12 Encounter for respirator [ventilator] dependence during power failure Notes ↗
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