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264 HCC

Vascular Disease with Complications

CMS Model V28 71 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 264)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC264 2026 + 0.498
CFD HCC264 2026 + 0.461
CNA HCC264 2026 + 0.455
CND HCC264 2026 + 0.520
CPA HCC264 2026 + 0.513
CPD HCC264 2026 + 0.622
INS HCC264 2026 + 0.338

Mapped ICD-10-CM Diagnoses (71)

The following diagnoses map directly to HCC 264 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
I70.221 Atherosclerosis of native arteries of extremities with rest pain, right leg Notes ↗
I70.222 Atherosclerosis of native arteries of extremities with rest pain, left leg Notes ↗
I70.223 Atherosclerosis of native arteries of extremities with rest pain, bilateral legs Notes ↗
I70.228 Atherosclerosis of native arteries of extremities with rest pain, other extremity Notes ↗
I70.229 Atherosclerosis of native arteries of extremities with rest pain, unspecified extremity Notes ↗
I70.321 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, right leg Notes ↗
I70.322 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, left leg Notes ↗
I70.323 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, bilateral legs Notes ↗
I70.328 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, other extremity Notes ↗
I70.329 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, unspecified extremity Notes ↗
I70.421 Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, right leg Notes ↗
I70.422 Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, left leg Notes ↗
I70.423 Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, bilateral legs Notes ↗
I70.428 Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, other extremity Notes ↗
I70.429 Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, unspecified extremity Notes ↗
I70.521 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, right leg Notes ↗
I70.522 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, left leg Notes ↗
I70.523 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, bilateral legs Notes ↗
I70.528 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, other extremity Notes ↗
I70.529 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, unspecified extremity Notes ↗
I70.621 Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, right leg Notes ↗
I70.622 Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, left leg Notes ↗
I70.623 Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, bilateral legs Notes ↗
I70.628 Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, other extremity Notes ↗
I70.629 Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, unspecified extremity Notes ↗
I70.721 Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, right leg Notes ↗
I70.722 Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, left leg Notes ↗
I70.723 Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, bilateral legs Notes ↗
I70.728 Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, other extremity Notes ↗
I70.729 Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, unspecified extremity Notes ↗
I71.00 Dissection of unspecified site of aorta Notes ↗
I71.010 Dissection of ascending aorta Notes ↗
I71.011 Dissection of aortic arch Notes ↗
I71.012 Dissection of descending thoracic aorta Notes ↗
I71.019 Dissection of thoracic aorta, unspecified Notes ↗
I71.02 Dissection of abdominal aorta Notes ↗
I71.03 Dissection of thoracoabdominal aorta Notes ↗
I71.10 Thoracic aortic aneurysm, ruptured, unspecified Notes ↗
I71.11 Aneurysm of the ascending aorta, ruptured Notes ↗
I71.12 Aneurysm of the aortic arch, ruptured Notes ↗
I71.13 Aneurysm of the descending thoracic aorta, ruptured Notes ↗
I71.30 Abdominal aortic aneurysm, ruptured, unspecified Notes ↗
I71.31 Pararenal abdominal aortic aneurysm, ruptured Notes ↗
I71.32 Juxtarenal abdominal aortic aneurysm, ruptured Notes ↗
I71.33 Infrarenal abdominal aortic aneurysm, ruptured Notes ↗
I71.50 Thoracoabdominal aortic aneurysm, ruptured, unspecified Notes ↗
I71.51 Supraceliac aneurysm of the thoracoabdominal aorta, ruptured Notes ↗
I71.52 Paravisceral aneurysm of the thoracoabdominal aorta, ruptured Notes ↗
I71.8 Aortic aneurysm of unspecified site, ruptured Notes ↗
I74.01 Saddle embolus of abdominal aorta Notes ↗
I74.09 Other arterial embolism and thrombosis of abdominal aorta Notes ↗
I74.10 Embolism and thrombosis of unspecified parts of aorta Notes ↗
I74.11 Embolism and thrombosis of thoracic aorta Notes ↗
I74.19 Embolism and thrombosis of other parts of aorta Notes ↗
I74.2 Embolism and thrombosis of arteries of the upper extremities Notes ↗
I74.3 Embolism and thrombosis of arteries of the lower extremities Notes ↗
I74.4 Embolism and thrombosis of arteries of extremities, unspecified Notes ↗
I74.5 Embolism and thrombosis of iliac artery Notes ↗
I74.8 Embolism and thrombosis of other arteries Notes ↗
I74.9 Embolism and thrombosis of unspecified artery Notes ↗
I75.011 Atheroembolism of right upper extremity Notes ↗
I75.012 Atheroembolism of left upper extremity Notes ↗
I75.013 Atheroembolism of bilateral upper extremities Notes ↗
I75.019 Atheroembolism of unspecified upper extremity Notes ↗
I75.021 Atheroembolism of right lower extremity Notes ↗
I75.022 Atheroembolism of left lower extremity Notes ↗
I75.023 Atheroembolism of bilateral lower extremities Notes ↗
I75.029 Atheroembolism of unspecified lower extremity Notes ↗
I75.81 Atheroembolism of kidney Notes ↗
I75.89 Atheroembolism of other site Notes ↗
I76 Septic arterial embolism Notes ↗
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