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249 HCC

Ischemic or Unspecified Stroke

CMS Model V28 95 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 249)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC249 2026 + 0.377
CFD HCC249 2026 + 0.277
CNA HCC249 2026 + 0.239
CND HCC249 2026 + 0.180
CPA HCC249 2026 + 0.299
CPD HCC249 2026 + 0.172
INS HCC249 2026 + 0.081

Mapped ICD-10-CM Diagnoses (95)

The following diagnoses map directly to HCC 249 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
I63.00 Cerebral infarction due to thrombosis of unspecified precerebral artery Notes ↗
I63.011 Cerebral infarction due to thrombosis of right vertebral artery Notes ↗
I63.012 Cerebral infarction due to thrombosis of left vertebral artery Notes ↗
I63.013 Cerebral infarction due to thrombosis of bilateral vertebral arteries Notes ↗
I63.019 Cerebral infarction due to thrombosis of unspecified vertebral artery Notes ↗
I63.02 Cerebral infarction due to thrombosis of basilar artery Notes ↗
I63.031 Cerebral infarction due to thrombosis of right carotid artery Notes ↗
I63.032 Cerebral infarction due to thrombosis of left carotid artery Notes ↗
I63.033 Cerebral infarction due to thrombosis of bilateral carotid arteries Notes ↗
I63.039 Cerebral infarction due to thrombosis of unspecified carotid artery Notes ↗
I63.09 Cerebral infarction due to thrombosis of other precerebral artery Notes ↗
I63.10 Cerebral infarction due to embolism of unspecified precerebral artery Notes ↗
I63.111 Cerebral infarction due to embolism of right vertebral artery Notes ↗
I63.112 Cerebral infarction due to embolism of left vertebral artery Notes ↗
I63.113 Cerebral infarction due to embolism of bilateral vertebral arteries Notes ↗
I63.119 Cerebral infarction due to embolism of unspecified vertebral artery Notes ↗
I63.12 Cerebral infarction due to embolism of basilar artery Notes ↗
I63.131 Cerebral infarction due to embolism of right carotid artery Notes ↗
I63.132 Cerebral infarction due to embolism of left carotid artery Notes ↗
I63.133 Cerebral infarction due to embolism of bilateral carotid arteries Notes ↗
I63.139 Cerebral infarction due to embolism of unspecified carotid artery Notes ↗
I63.19 Cerebral infarction due to embolism of other precerebral artery Notes ↗
I63.20 Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries Notes ↗
I63.211 Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery Notes ↗
I63.212 Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery Notes ↗
I63.213 Cerebral infarction due to unspecified occlusion or stenosis of bilateral vertebral arteries Notes ↗
I63.219 Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral artery Notes ↗
I63.22 Cerebral infarction due to unspecified occlusion or stenosis of basilar artery Notes ↗
I63.231 Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries Notes ↗
I63.232 Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries Notes ↗
I63.233 Cerebral infarction due to unspecified occlusion or stenosis of bilateral carotid arteries Notes ↗
I63.239 Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid artery Notes ↗
I63.29 Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries Notes ↗
I63.30 Cerebral infarction due to thrombosis of unspecified cerebral artery Notes ↗
I63.311 Cerebral infarction due to thrombosis of right middle cerebral artery Notes ↗
I63.312 Cerebral infarction due to thrombosis of left middle cerebral artery Notes ↗
I63.313 Cerebral infarction due to thrombosis of bilateral middle cerebral arteries Notes ↗
I63.319 Cerebral infarction due to thrombosis of unspecified middle cerebral artery Notes ↗
I63.321 Cerebral infarction due to thrombosis of right anterior cerebral artery Notes ↗
I63.322 Cerebral infarction due to thrombosis of left anterior cerebral artery Notes ↗
I63.323 Cerebral infarction due to thrombosis of bilateral anterior cerebral arteries Notes ↗
I63.329 Cerebral infarction due to thrombosis of unspecified anterior cerebral artery Notes ↗
I63.331 Cerebral infarction due to thrombosis of right posterior cerebral artery Notes ↗
I63.332 Cerebral infarction due to thrombosis of left posterior cerebral artery Notes ↗
I63.333 Cerebral infarction due to thrombosis of bilateral posterior cerebral arteries Notes ↗
I63.339 Cerebral infarction due to thrombosis of unspecified posterior cerebral artery Notes ↗
I63.341 Cerebral infarction due to thrombosis of right cerebellar artery Notes ↗
I63.342 Cerebral infarction due to thrombosis of left cerebellar artery Notes ↗
I63.343 Cerebral infarction due to thrombosis of bilateral cerebellar arteries Notes ↗
I63.349 Cerebral infarction due to thrombosis of unspecified cerebellar artery Notes ↗
I63.39 Cerebral infarction due to thrombosis of other cerebral artery Notes ↗
I63.40 Cerebral infarction due to embolism of unspecified cerebral artery Notes ↗
I63.411 Cerebral infarction due to embolism of right middle cerebral artery Notes ↗
I63.412 Cerebral infarction due to embolism of left middle cerebral artery Notes ↗
I63.413 Cerebral infarction due to embolism of bilateral middle cerebral arteries Notes ↗
I63.419 Cerebral infarction due to embolism of unspecified middle cerebral artery Notes ↗
I63.421 Cerebral infarction due to embolism of right anterior cerebral artery Notes ↗
I63.422 Cerebral infarction due to embolism of left anterior cerebral artery Notes ↗
I63.423 Cerebral infarction due to embolism of bilateral anterior cerebral arteries Notes ↗
I63.429 Cerebral infarction due to embolism of unspecified anterior cerebral artery Notes ↗
I63.431 Cerebral infarction due to embolism of right posterior cerebral artery Notes ↗
I63.432 Cerebral infarction due to embolism of left posterior cerebral artery Notes ↗
I63.433 Cerebral infarction due to embolism of bilateral posterior cerebral arteries Notes ↗
I63.439 Cerebral infarction due to embolism of unspecified posterior cerebral artery Notes ↗
I63.441 Cerebral infarction due to embolism of right cerebellar artery Notes ↗
I63.442 Cerebral infarction due to embolism of left cerebellar artery Notes ↗
I63.443 Cerebral infarction due to embolism of bilateral cerebellar arteries Notes ↗
I63.449 Cerebral infarction due to embolism of unspecified cerebellar artery Notes ↗
I63.49 Cerebral infarction due to embolism of other cerebral artery Notes ↗
I63.50 Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery Notes ↗
I63.511 Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery Notes ↗
I63.512 Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery Notes ↗
I63.513 Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle cerebral arteries Notes ↗
I63.519 Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery Notes ↗
I63.521 Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery Notes ↗
I63.522 Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery Notes ↗
I63.523 Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries Notes ↗
I63.529 Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery Notes ↗
I63.531 Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery Notes ↗
I63.532 Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery Notes ↗
I63.533 Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior cerebral arteries Notes ↗
I63.539 Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery Notes ↗
I63.541 Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery Notes ↗
I63.542 Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery Notes ↗
I63.543 Cerebral infarction due to unspecified occlusion or stenosis of bilateral cerebellar arteries Notes ↗
I63.549 Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar artery Notes ↗
I63.59 Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery Notes ↗
I63.6 Cerebral infarction due to cerebral venous thrombosis, nonpyogenic Notes ↗
I63.81 Other cerebral infarction due to occlusion or stenosis of small artery Notes ↗
I63.89 Other cerebral infarction Notes ↗
I63.9 Cerebral infarction, unspecified Notes ↗
P91.821 Neonatal cerebral infarction, right side of brain Notes ↗
P91.822 Neonatal cerebral infarction, left side of brain Notes ↗
P91.823 Neonatal cerebral infarction, bilateral Notes ↗
P91.829 Neonatal cerebral infarction, unspecified side Notes ↗
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