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38 HCC

Diabetes with Glycemic, Unspecified, or No Complications

CMS Model V28 17 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 38)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC38 2026 + 0.186
CFD HCC38 2026 + 0.235
CNA HCC38 2026 + 0.166
CND HCC38 2026 + 0.191
CPA HCC38 2026 + 0.166
CPD HCC38 2026 + 0.210
INS HCC38 2026 + 0.280

Mapped ICD-10-CM Diagnoses (17)

The following diagnoses map directly to HCC 38 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
E08.649 Diabetes mellitus due to underlying condition with hypoglycemia without coma Notes ↗
E08.65 Diabetes mellitus due to underlying condition with hyperglycemia Notes ↗
E08.8 Diabetes mellitus due to underlying condition with unspecified complications Notes ↗
E08.9 Diabetes mellitus due to underlying condition without complications Notes ↗
E10.649 Type 1 diabetes mellitus with hypoglycemia without coma Notes ↗
E10.65 Type 1 diabetes mellitus with hyperglycemia Notes ↗
E10.8 Type 1 diabetes mellitus with unspecified complications Notes ↗
E10.9 Type 1 diabetes mellitus without complications Notes ↗
E11.649 Type 2 diabetes mellitus with hypoglycemia without coma Notes ↗
E11.65 Type 2 diabetes mellitus with hyperglycemia Notes ↗
E11.8 Type 2 diabetes mellitus with unspecified complications Notes ↗
E11.9 Type 2 diabetes mellitus without complications Notes ↗
E13.649 Other specified diabetes mellitus with hypoglycemia without coma Notes ↗
E13.65 Other specified diabetes mellitus with hyperglycemia Notes ↗
E13.8 Other specified diabetes mellitus with unspecified complications Notes ↗
E13.9 Other specified diabetes mellitus without complications Notes ↗
Z79.4 Long term (current) use of insulin Notes ↗
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