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385 HCC

Severe Skin Burn

CMS Model V28 90 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 385)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC385 2026 + 2.362
CFD HCC385 2026 + 0.857
CNA HCC385 2026 + 1.291
CND HCC385 2026 + 0.234
CPA HCC385 2026 + 0.000
CPD HCC385 2026 + 0.204
INS HCC385 2026 + 0.000

Mapped ICD-10-CM Diagnoses (90)

The following diagnoses map directly to HCC 385 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
T31.11 Burns involving 10-19% of body surface with 10-19% third degree burns Notes ↗
T31.21 Burns involving 20-29% of body surface with 10-19% third degree burns Notes ↗
T31.22 Burns involving 20-29% of body surface with 20-29% third degree burns Notes ↗
T31.31 Burns involving 30-39% of body surface with 10-19% third degree burns Notes ↗
T31.32 Burns involving 30-39% of body surface with 20-29% third degree burns Notes ↗
T31.33 Burns involving 30-39% of body surface with 30-39% third degree burns Notes ↗
T31.41 Burns involving 40-49% of body surface with 10-19% third degree burns Notes ↗
T31.42 Burns involving 40-49% of body surface with 20-29% third degree burns Notes ↗
T31.43 Burns involving 40-49% of body surface with 30-39% third degree burns Notes ↗
T31.44 Burns involving 40-49% of body surface with 40-49% third degree burns Notes ↗
T31.51 Burns involving 50-59% of body surface with 10-19% third degree burns Notes ↗
T31.52 Burns involving 50-59% of body surface with 20-29% third degree burns Notes ↗
T31.53 Burns involving 50-59% of body surface with 30-39% third degree burns Notes ↗
T31.54 Burns involving 50-59% of body surface with 40-49% third degree burns Notes ↗
T31.55 Burns involving 50-59% of body surface with 50-59% third degree burns Notes ↗
T31.61 Burns involving 60-69% of body surface with 10-19% third degree burns Notes ↗
T31.62 Burns involving 60-69% of body surface with 20-29% third degree burns Notes ↗
T31.63 Burns involving 60-69% of body surface with 30-39% third degree burns Notes ↗
T31.64 Burns involving 60-69% of body surface with 40-49% third degree burns Notes ↗
T31.65 Burns involving 60-69% of body surface with 50-59% third degree burns Notes ↗
T31.66 Burns involving 60-69% of body surface with 60-69% third degree burns Notes ↗
T31.71 Burns involving 70-79% of body surface with 10-19% third degree burns Notes ↗
T31.72 Burns involving 70-79% of body surface with 20-29% third degree burns Notes ↗
T31.73 Burns involving 70-79% of body surface with 30-39% third degree burns Notes ↗
T31.74 Burns involving 70-79% of body surface with 40-49% third degree burns Notes ↗
T31.75 Burns involving 70-79% of body surface with 50-59% third degree burns Notes ↗
T31.76 Burns involving 70-79% of body surface with 60-69% third degree burns Notes ↗
T31.77 Burns involving 70-79% of body surface with 70-79% third degree burns Notes ↗
T31.81 Burns involving 80-89% of body surface with 10-19% third degree burns Notes ↗
T31.82 Burns involving 80-89% of body surface with 20-29% third degree burns Notes ↗
T31.83 Burns involving 80-89% of body surface with 30-39% third degree burns Notes ↗
T31.84 Burns involving 80-89% of body surface with 40-49% third degree burns Notes ↗
T31.85 Burns involving 80-89% of body surface with 50-59% third degree burns Notes ↗
T31.86 Burns involving 80-89% of body surface with 60-69% third degree burns Notes ↗
T31.87 Burns involving 80-89% of body surface with 70-79% third degree burns Notes ↗
T31.88 Burns involving 80-89% of body surface with 80-89% third degree burns Notes ↗
T31.91 Burns involving 90% or more of body surface with 10-19% third degree burns Notes ↗
T31.92 Burns involving 90% or more of body surface with 20-29% third degree burns Notes ↗
T31.93 Burns involving 90% or more of body surface with 30-39% third degree burns Notes ↗
T31.94 Burns involving 90% or more of body surface with 40-49% third degree burns Notes ↗
T31.95 Burns involving 90% or more of body surface with 50-59% third degree burns Notes ↗
T31.96 Burns involving 90% or more of body surface with 60-69% third degree burns Notes ↗
T31.97 Burns involving 90% or more of body surface with 70-79% third degree burns Notes ↗
T31.98 Burns involving 90% or more of body surface with 80-89% third degree burns Notes ↗
T31.99 Burns involving 90% or more of body surface with 90% or more third degree burns Notes ↗
T32.11 Corrosions involving 10-19% of body surface with 10-19% third degree corrosion Notes ↗
T32.21 Corrosions involving 20-29% of body surface with 10-19% third degree corrosion Notes ↗
T32.22 Corrosions involving 20-29% of body surface with 20-29% third degree corrosion Notes ↗
T32.31 Corrosions involving 30-39% of body surface with 10-19% third degree corrosion Notes ↗
T32.32 Corrosions involving 30-39% of body surface with 20-29% third degree corrosion Notes ↗
T32.33 Corrosions involving 30-39% of body surface with 30-39% third degree corrosion Notes ↗
T32.41 Corrosions involving 40-49% of body surface with 10-19% third degree corrosion Notes ↗
T32.42 Corrosions involving 40-49% of body surface with 20-29% third degree corrosion Notes ↗
T32.43 Corrosions involving 40-49% of body surface with 30-39% third degree corrosion Notes ↗
T32.44 Corrosions involving 40-49% of body surface with 40-49% third degree corrosion Notes ↗
T32.51 Corrosions involving 50-59% of body surface with 10-19% third degree corrosion Notes ↗
T32.52 Corrosions involving 50-59% of body surface with 20-29% third degree corrosion Notes ↗
T32.53 Corrosions involving 50-59% of body surface with 30-39% third degree corrosion Notes ↗
T32.54 Corrosions involving 50-59% of body surface with 40-49% third degree corrosion Notes ↗
T32.55 Corrosions involving 50-59% of body surface with 50-59% third degree corrosion Notes ↗
T32.61 Corrosions involving 60-69% of body surface with 10-19% third degree corrosion Notes ↗
T32.62 Corrosions involving 60-69% of body surface with 20-29% third degree corrosion Notes ↗
T32.63 Corrosions involving 60-69% of body surface with 30-39% third degree corrosion Notes ↗
T32.64 Corrosions involving 60-69% of body surface with 40-49% third degree corrosion Notes ↗
T32.65 Corrosions involving 60-69% of body surface with 50-59% third degree corrosion Notes ↗
T32.66 Corrosions involving 60-69% of body surface with 60-69% third degree corrosion Notes ↗
T32.71 Corrosions involving 70-79% of body surface with 10-19% third degree corrosion Notes ↗
T32.72 Corrosions involving 70-79% of body surface with 20-29% third degree corrosion Notes ↗
T32.73 Corrosions involving 70-79% of body surface with 30-39% third degree corrosion Notes ↗
T32.74 Corrosions involving 70-79% of body surface with 40-49% third degree corrosion Notes ↗
T32.75 Corrosions involving 70-79% of body surface with 50-59% third degree corrosion Notes ↗
T32.76 Corrosions involving 70-79% of body surface with 60-69% third degree corrosion Notes ↗
T32.77 Corrosions involving 70-79% of body surface with 70-79% third degree corrosion Notes ↗
T32.81 Corrosions involving 80-89% of body surface with 10-19% third degree corrosion Notes ↗
T32.82 Corrosions involving 80-89% of body surface with 20-29% third degree corrosion Notes ↗
T32.83 Corrosions involving 80-89% of body surface with 30-39% third degree corrosion Notes ↗
T32.84 Corrosions involving 80-89% of body surface with 40-49% third degree corrosion Notes ↗
T32.85 Corrosions involving 80-89% of body surface with 50-59% third degree corrosion Notes ↗
T32.86 Corrosions involving 80-89% of body surface with 60-69% third degree corrosion Notes ↗
T32.87 Corrosions involving 80-89% of body surface with 70-79% third degree corrosion Notes ↗
T32.88 Corrosions involving 80-89% of body surface with 80-89% third degree corrosion Notes ↗
T32.91 Corrosions involving 90% or more of body surface with 10-19% third degree corrosion Notes ↗
T32.92 Corrosions involving 90% or more of body surface with 20-29% third degree corrosion Notes ↗
T32.93 Corrosions involving 90% or more of body surface with 30-39% third degree corrosion Notes ↗
T32.94 Corrosions involving 90% or more of body surface with 40-49% third degree corrosion Notes ↗
T32.95 Corrosions involving 90% or more of body surface with 50-59% third degree corrosion Notes ↗
T32.96 Corrosions involving 90% or more of body surface with 60-69% third degree corrosion Notes ↗
T32.97 Corrosions involving 90% or more of body surface with 70-79% third degree corrosion Notes ↗
T32.98 Corrosions involving 90% or more of body surface with 80-89% third degree corrosion Notes ↗
T32.99 Corrosions involving 90% or more of body surface with 90% or more third degree corrosion Notes ↗
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