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280 HCC

Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders

CMS Model V28 79 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 280)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC280 2026 + 0.390
CFD HCC280 2026 + 0.281
CNA HCC280 2026 + 0.319
CND HCC280 2026 + 0.209
CPA HCC280 2026 + 0.321
CPD HCC280 2026 + 0.234
INS HCC280 2026 + 0.312

Mapped ICD-10-CM Diagnoses (79)

The following diagnoses map directly to HCC 280 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
B44.81 Allergic bronchopulmonary aspergillosis Notes ↗
J41.0 Simple chronic bronchitis Notes ↗
J41.1 Mucopurulent chronic bronchitis Notes ↗
J41.8 Mixed simple and mucopurulent chronic bronchitis Notes ↗
J42 Unspecified chronic bronchitis Notes ↗
J43.0 Unilateral pulmonary emphysema [MacLeod's syndrome] Notes ↗
J43.1 Panlobular emphysema Notes ↗
J43.2 Centrilobular emphysema Notes ↗
J43.8 Other emphysema Notes ↗
J43.9 Emphysema, unspecified Notes ↗
J44.0 Chronic obstructive pulmonary disease with (acute) lower respiratory infection Notes ↗
J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation Notes ↗
J44.81 Bronchiolitis obliterans and bronchiolitis obliterans syndrome Notes ↗
J44.89 Other specified chronic obstructive pulmonary disease Notes ↗
J44.9 Chronic obstructive pulmonary disease, unspecified Notes ↗
J47.0 Bronchiectasis with acute lower respiratory infection Notes ↗
J47.1 Bronchiectasis with (acute) exacerbation Notes ↗
J47.9 Bronchiectasis, uncomplicated Notes ↗
J60 Coalworker's pneumoconiosis Notes ↗
J61 Pneumoconiosis due to asbestos and other mineral fibers Notes ↗
J62.0 Pneumoconiosis due to talc dust Notes ↗
J62.8 Pneumoconiosis due to other dust containing silica Notes ↗
J63.0 Aluminosis (of lung) Notes ↗
J63.1 Bauxite fibrosis (of lung) Notes ↗
J63.2 Berylliosis Notes ↗
J63.3 Graphite fibrosis (of lung) Notes ↗
J63.4 Siderosis Notes ↗
J63.5 Stannosis Notes ↗
J63.6 Pneumoconiosis due to other specified inorganic dusts Notes ↗
J64 Unspecified pneumoconiosis Notes ↗
J65 Pneumoconiosis associated with tuberculosis Notes ↗
J66.0 Byssinosis Notes ↗
J66.1 Flax-dressers' disease Notes ↗
J66.2 Cannabinosis Notes ↗
J66.8 Airway disease due to other specific organic dusts Notes ↗
J67.0 Farmer's lung Notes ↗
J67.1 Bagassosis Notes ↗
J67.2 Bird fancier's lung Notes ↗
J67.3 Suberosis Notes ↗
J67.4 Maltworker's lung Notes ↗
J67.5 Mushroom-worker's lung Notes ↗
J67.6 Maple-bark-stripper's lung Notes ↗
J67.7 Air conditioner and humidifier lung Notes ↗
J67.8 Hypersensitivity pneumonitis due to other organic dusts Notes ↗
J67.9 Hypersensitivity pneumonitis due to unspecified organic dust Notes ↗
J68.0 Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors Notes ↗
J68.1 Pulmonary edema due to chemicals, gases, fumes and vapors Notes ↗
J68.2 Upper respiratory inflammation due to chemicals, gases, fumes and vapors, not elsewhere classified Notes ↗
J68.3 Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapors Notes ↗
J68.4 Chronic respiratory conditions due to chemicals, gases, fumes and vapors Notes ↗
J68.8 Other respiratory conditions due to chemicals, gases, fumes and vapors Notes ↗
J68.9 Unspecified respiratory condition due to chemicals, gases, fumes and vapors Notes ↗
J82.81 Chronic eosinophilic pneumonia Notes ↗
J84.01 Alveolar proteinosis Notes ↗
J84.02 Pulmonary alveolar microlithiasis Notes ↗
J84.03 Idiopathic pulmonary hemosiderosis Notes ↗
J84.09 Other alveolar and parieto-alveolar conditions Notes ↗
J84.10 Pulmonary fibrosis, unspecified Notes ↗
J84.111 Idiopathic interstitial pneumonia, not otherwise specified Notes ↗
J84.113 Idiopathic non-specific interstitial pneumonitis Notes ↗
J84.114 Acute interstitial pneumonitis Notes ↗
J84.115 Respiratory bronchiolitis interstitial lung disease Notes ↗
J84.116 Cryptogenic organizing pneumonia Notes ↗
J84.117 Desquamative interstitial pneumonia Notes ↗
J84.178 Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere Notes ↗
J84.2 Lymphoid interstitial pneumonia Notes ↗
J84.81 Lymphangioleiomyomatosis Notes ↗
J84.82 Adult pulmonary Langerhans cell histiocytosis Notes ↗
J84.89 Other specified interstitial pulmonary diseases Notes ↗
J84.9 Interstitial pulmonary disease, unspecified Notes ↗
J98.2 Interstitial emphysema Notes ↗
J98.3 Compensatory emphysema Notes ↗
J99 Respiratory disorders in diseases classified elsewhere Notes ↗
M32.13 Lung involvement in systemic lupus erythematosus Notes ↗
M33.01 Juvenile dermatomyositis with respiratory involvement Notes ↗
M33.11 Other dermatomyositis with respiratory involvement Notes ↗
M33.21 Polymyositis with respiratory involvement Notes ↗
M33.91 Dermatopolymyositis, unspecified with respiratory involvement Notes ↗
M35.02 Sjogren syndrome with lung involvement Notes ↗
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