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381 HCC

Pressure Ulcer of Skin with Full Thickness Skin Loss

CMS Model V28 50 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 381)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC381 2026 + 1.379
CFD HCC381 2026 + 1.192
CNA HCC381 2026 + 1.075
CND HCC381 2026 + 1.091
CPA HCC381 2026 + 1.136
CPD HCC381 2026 + 1.089
INS HCC381 2026 + 0.423

Mapped ICD-10-CM Diagnoses (50)

The following diagnoses map directly to HCC 381 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
L89.000 Pressure ulcer of unspecified elbow, unstageable Notes ↗
L89.003 Pressure ulcer of unspecified elbow, stage 3 Notes ↗
L89.010 Pressure ulcer of right elbow, unstageable Notes ↗
L89.013 Pressure ulcer of right elbow, stage 3 Notes ↗
L89.020 Pressure ulcer of left elbow, unstageable Notes ↗
L89.023 Pressure ulcer of left elbow, stage 3 Notes ↗
L89.100 Pressure ulcer of unspecified part of back, unstageable Notes ↗
L89.103 Pressure ulcer of unspecified part of back, stage 3 Notes ↗
L89.110 Pressure ulcer of right upper back, unstageable Notes ↗
L89.113 Pressure ulcer of right upper back, stage 3 Notes ↗
L89.120 Pressure ulcer of left upper back, unstageable Notes ↗
L89.123 Pressure ulcer of left upper back, stage 3 Notes ↗
L89.130 Pressure ulcer of right lower back, unstageable Notes ↗
L89.133 Pressure ulcer of right lower back, stage 3 Notes ↗
L89.140 Pressure ulcer of left lower back, unstageable Notes ↗
L89.143 Pressure ulcer of left lower back, stage 3 Notes ↗
L89.150 Pressure ulcer of sacral region, unstageable Notes ↗
L89.153 Pressure ulcer of sacral region, stage 3 Notes ↗
L89.200 Pressure ulcer of unspecified hip, unstageable Notes ↗
L89.203 Pressure ulcer of unspecified hip, stage 3 Notes ↗
L89.210 Pressure ulcer of right hip, unstageable Notes ↗
L89.213 Pressure ulcer of right hip, stage 3 Notes ↗
L89.220 Pressure ulcer of left hip, unstageable Notes ↗
L89.223 Pressure ulcer of left hip, stage 3 Notes ↗
L89.300 Pressure ulcer of unspecified buttock, unstageable Notes ↗
L89.303 Pressure ulcer of unspecified buttock, stage 3 Notes ↗
L89.310 Pressure ulcer of right buttock, unstageable Notes ↗
L89.313 Pressure ulcer of right buttock, stage 3 Notes ↗
L89.320 Pressure ulcer of left buttock, unstageable Notes ↗
L89.323 Pressure ulcer of left buttock, stage 3 Notes ↗
L89.43 Pressure ulcer of contiguous site of back, buttock and hip, stage 3 Notes ↗
L89.45 Pressure ulcer of contiguous site of back, buttock and hip, unstageable Notes ↗
L89.500 Pressure ulcer of unspecified ankle, unstageable Notes ↗
L89.503 Pressure ulcer of unspecified ankle, stage 3 Notes ↗
L89.510 Pressure ulcer of right ankle, unstageable Notes ↗
L89.513 Pressure ulcer of right ankle, stage 3 Notes ↗
L89.520 Pressure ulcer of left ankle, unstageable Notes ↗
L89.523 Pressure ulcer of left ankle, stage 3 Notes ↗
L89.600 Pressure ulcer of unspecified heel, unstageable Notes ↗
L89.603 Pressure ulcer of unspecified heel, stage 3 Notes ↗
L89.610 Pressure ulcer of right heel, unstageable Notes ↗
L89.613 Pressure ulcer of right heel, stage 3 Notes ↗
L89.620 Pressure ulcer of left heel, unstageable Notes ↗
L89.623 Pressure ulcer of left heel, stage 3 Notes ↗
L89.810 Pressure ulcer of head, unstageable Notes ↗
L89.813 Pressure ulcer of head, stage 3 Notes ↗
L89.890 Pressure ulcer of other site, unstageable Notes ↗
L89.893 Pressure ulcer of other site, stage 3 Notes ↗
L89.93 Pressure ulcer of unspecified site, stage 3 Notes ↗
L89.95 Pressure ulcer of unspecified site, unstageable Notes ↗
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