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227 HCC

Cardiomyopathy/Myocarditis

CMS Model V28 14 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 227)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC227 2026 + 0.173
CFD HCC227 2026 + 0.198
CNA HCC227 2026 + 0.189
CND HCC227 2026 + 0.200
CPA HCC227 2026 + 0.145
CPD HCC227 2026 + 0.186
INS HCC227 2026 + 0.189

Mapped ICD-10-CM Diagnoses (14)

The following diagnoses map directly to HCC 227 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
A36.81 Diphtheritic cardiomyopathy Notes ↗
B33.24 Viral cardiomyopathy Notes ↗
I42.0 Dilated cardiomyopathy Notes ↗
I42.1 Obstructive hypertrophic cardiomyopathy Notes ↗
I42.2 Other hypertrophic cardiomyopathy Notes ↗
I42.3 Endomyocardial (eosinophilic) disease Notes ↗
I42.4 Endocardial fibroelastosis Notes ↗
I42.5 Other restrictive cardiomyopathy Notes ↗
I42.6 Alcoholic cardiomyopathy Notes ↗
I42.8 Other cardiomyopathies Notes ↗
I42.9 Cardiomyopathy, unspecified Notes ↗
I43 Cardiomyopathy in diseases classified elsewhere Notes ↗
I51.4 Myocarditis, unspecified Notes ↗
I51.5 Myocardial degeneration Notes ↗
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