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223 HCC

Heart Failure with Heart Assist Device/Artificial Heart

CMS Model V28 6 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 223)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC223 2026 + 2.927
CFD HCC223 2026 + 6.612
CNA HCC223 2026 + 2.505
CND HCC223 2026 + 5.770
CPA HCC223 2026 + 3.009
CPD HCC223 2026 + 6.106
INS HCC223 2026 + 0.826

Mapped ICD-10-CM Diagnoses (6)

The following diagnoses map directly to HCC 223 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
T82.512A Breakdown (mechanical) of artificial heart, initial encounter Notes ↗
T82.522A Displacement of artificial heart, initial encounter Notes ↗
T82.532A Leakage of artificial heart, initial encounter Notes ↗
T82.592A Other mechanical complication of artificial heart, initial encounter Notes ↗
Z95.811 Presence of heart assist device Notes ↗
Z95.812 Presence of fully implantable artificial heart Notes ↗
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