Relative Risk Score Factors (Coefficients for HCC 225)
| Enrollment Model Type |
Coeff Tag |
Year |
Weight Score |
| CFA |
HCC225 |
2026 |
+ 0.406 |
| CFD |
HCC225 |
2026 |
+ 0.537 |
| CNA |
HCC225 |
2026 |
+ 0.360 |
| CND |
HCC225 |
2026 |
+ 0.442 |
| CPA |
HCC225 |
2026 |
+ 0.311 |
| CPD |
HCC225 |
2026 |
+ 0.411 |
| INS |
HCC225 |
2026 |
+ 0.217 |
The following diagnoses map directly to HCC 225 under the V28 risk adjustment model:
| ICD-10 Code |
Clinical Diagnosis Description |
Guideline |
| I50.21 |
Acute systolic (congestive) heart failure |
Notes ↗
|
| I50.31 |
Acute diastolic (congestive) heart failure |
Notes ↗
|
| I50.41 |
Acute combined systolic (congestive) and diastolic (congestive) heart failure |
Notes ↗
|
| I50.811 |
Acute right heart failure |
Notes ↗
|
| I50.813 |
Acute on chronic right heart failure |
Notes ↗
|
| P29.0 |
Neonatal cardiac failure |
Notes ↗
|