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405 HCC

Traumatic Amputations and Complications

CMS Model V28 108 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 405)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC405 2026 + 0.799
CFD HCC405 2026 + 0.844
CNA HCC405 2026 + 0.598
CND HCC405 2026 + 0.577
CPA HCC405 2026 + 0.639
CPD HCC405 2026 + 0.698
INS HCC405 2026 + 0.284

Mapped ICD-10-CM Diagnoses (108)

The following diagnoses map directly to HCC 405 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
S48.011A Complete traumatic amputation at right shoulder joint, initial encounter Notes ↗
S48.012A Complete traumatic amputation at left shoulder joint, initial encounter Notes ↗
S48.019A Complete traumatic amputation at unspecified shoulder joint, initial encounter Notes ↗
S48.021A Partial traumatic amputation at right shoulder joint, initial encounter Notes ↗
S48.022A Partial traumatic amputation at left shoulder joint, initial encounter Notes ↗
S48.029A Partial traumatic amputation at unspecified shoulder joint, initial encounter Notes ↗
S48.111A Complete traumatic amputation at level between right shoulder and elbow, initial encounter Notes ↗
S48.112A Complete traumatic amputation at level between left shoulder and elbow, initial encounter Notes ↗
S48.119A Complete traumatic amputation at level between unspecified shoulder and elbow, initial encounter Notes ↗
S48.121A Partial traumatic amputation at level between right shoulder and elbow, initial encounter Notes ↗
S48.122A Partial traumatic amputation at level between left shoulder and elbow, initial encounter Notes ↗
S48.129A Partial traumatic amputation at level between unspecified shoulder and elbow, initial encounter Notes ↗
S48.911A Complete traumatic amputation of right shoulder and upper arm, level unspecified, initial encounter Notes ↗
S48.912A Complete traumatic amputation of left shoulder and upper arm, level unspecified, initial encounter Notes ↗
S48.919A Complete traumatic amputation of unspecified shoulder and upper arm, level unspecified, initial encounter Notes ↗
S48.921A Partial traumatic amputation of right shoulder and upper arm, level unspecified, initial encounter Notes ↗
S48.922A Partial traumatic amputation of left shoulder and upper arm, level unspecified, initial encounter Notes ↗
S48.929A Partial traumatic amputation of unspecified shoulder and upper arm, level unspecified, initial encounter Notes ↗
S58.011A Complete traumatic amputation at elbow level, right arm, initial encounter Notes ↗
S58.012A Complete traumatic amputation at elbow level, left arm, initial encounter Notes ↗
S58.019A Complete traumatic amputation at elbow level, unspecified arm, initial encounter Notes ↗
S58.021A Partial traumatic amputation at elbow level, right arm, initial encounter Notes ↗
S58.022A Partial traumatic amputation at elbow level, left arm, initial encounter Notes ↗
S58.029A Partial traumatic amputation at elbow level, unspecified arm, initial encounter Notes ↗
S58.111A Complete traumatic amputation at level between elbow and wrist, right arm, initial encounter Notes ↗
S58.112A Complete traumatic amputation at level between elbow and wrist, left arm, initial encounter Notes ↗
S58.119A Complete traumatic amputation at level between elbow and wrist, unspecified arm, initial encounter Notes ↗
S58.121A Partial traumatic amputation at level between elbow and wrist, right arm, initial encounter Notes ↗
S58.122A Partial traumatic amputation at level between elbow and wrist, left arm, initial encounter Notes ↗
S58.129A Partial traumatic amputation at level between elbow and wrist, unspecified arm, initial encounter Notes ↗
S58.911A Complete traumatic amputation of right forearm, level unspecified, initial encounter Notes ↗
S58.912A Complete traumatic amputation of left forearm, level unspecified, initial encounter Notes ↗
S58.919A Complete traumatic amputation of unspecified forearm, level unspecified, initial encounter Notes ↗
S58.921A Partial traumatic amputation of right forearm, level unspecified, initial encounter Notes ↗
S58.922A Partial traumatic amputation of left forearm, level unspecified, initial encounter Notes ↗
S58.929A Partial traumatic amputation of unspecified forearm, level unspecified, initial encounter Notes ↗
S68.411A Complete traumatic amputation of right hand at wrist level, initial encounter Notes ↗
S68.412A Complete traumatic amputation of left hand at wrist level, initial encounter Notes ↗
S68.419A Complete traumatic amputation of unspecified hand at wrist level, initial encounter Notes ↗
S68.421A Partial traumatic amputation of right hand at wrist level, initial encounter Notes ↗
S68.422A Partial traumatic amputation of left hand at wrist level, initial encounter Notes ↗
S68.429A Partial traumatic amputation of unspecified hand at wrist level, initial encounter Notes ↗
S68.711A Complete traumatic transmetacarpal amputation of right hand, initial encounter Notes ↗
S68.712A Complete traumatic transmetacarpal amputation of left hand, initial encounter Notes ↗
S68.719A Complete traumatic transmetacarpal amputation of unspecified hand, initial encounter Notes ↗
S68.721A Partial traumatic transmetacarpal amputation of right hand, initial encounter Notes ↗
S68.722A Partial traumatic transmetacarpal amputation of left hand, initial encounter Notes ↗
S68.729A Partial traumatic transmetacarpal amputation of unspecified hand, initial encounter Notes ↗
S78.011A Complete traumatic amputation at right hip joint, initial encounter Notes ↗
S78.012A Complete traumatic amputation at left hip joint, initial encounter Notes ↗
S78.019A Complete traumatic amputation at unspecified hip joint, initial encounter Notes ↗
S78.021A Partial traumatic amputation at right hip joint, initial encounter Notes ↗
S78.022A Partial traumatic amputation at left hip joint, initial encounter Notes ↗
S78.029A Partial traumatic amputation at unspecified hip joint, initial encounter Notes ↗
S78.111A Complete traumatic amputation at level between right hip and knee, initial encounter Notes ↗
S78.112A Complete traumatic amputation at level between left hip and knee, initial encounter Notes ↗
S78.119A Complete traumatic amputation at level between unspecified hip and knee, initial encounter Notes ↗
S78.121A Partial traumatic amputation at level between right hip and knee, initial encounter Notes ↗
S78.122A Partial traumatic amputation at level between left hip and knee, initial encounter Notes ↗
S78.129A Partial traumatic amputation at level between unspecified hip and knee, initial encounter Notes ↗
S78.911A Complete traumatic amputation of right hip and thigh, level unspecified, initial encounter Notes ↗
S78.912A Complete traumatic amputation of left hip and thigh, level unspecified, initial encounter Notes ↗
S78.919A Complete traumatic amputation of unspecified hip and thigh, level unspecified, initial encounter Notes ↗
S78.921A Partial traumatic amputation of right hip and thigh, level unspecified, initial encounter Notes ↗
S78.922A Partial traumatic amputation of left hip and thigh, level unspecified, initial encounter Notes ↗
S78.929A Partial traumatic amputation of unspecified hip and thigh, level unspecified, initial encounter Notes ↗
S88.011A Complete traumatic amputation at knee level, right lower leg, initial encounter Notes ↗
S88.012A Complete traumatic amputation at knee level, left lower leg, initial encounter Notes ↗
S88.019A Complete traumatic amputation at knee level, unspecified lower leg, initial encounter Notes ↗
S88.021A Partial traumatic amputation at knee level, right lower leg, initial encounter Notes ↗
S88.022A Partial traumatic amputation at knee level, left lower leg, initial encounter Notes ↗
S88.029A Partial traumatic amputation at knee level, unspecified lower leg, initial encounter Notes ↗
S88.111A Complete traumatic amputation at level between knee and ankle, right lower leg, initial encounter Notes ↗
S88.112A Complete traumatic amputation at level between knee and ankle, left lower leg, initial encounter Notes ↗
S88.119A Complete traumatic amputation at level between knee and ankle, unspecified lower leg, initial encounter Notes ↗
S88.121A Partial traumatic amputation at level between knee and ankle, right lower leg, initial encounter Notes ↗
S88.122A Partial traumatic amputation at level between knee and ankle, left lower leg, initial encounter Notes ↗
S88.129A Partial traumatic amputation at level between knee and ankle, unspecified lower leg, initial encounter Notes ↗
S88.911A Complete traumatic amputation of right lower leg, level unspecified, initial encounter Notes ↗
S88.912A Complete traumatic amputation of left lower leg, level unspecified, initial encounter Notes ↗
S88.919A Complete traumatic amputation of unspecified lower leg, level unspecified, initial encounter Notes ↗
S88.921A Partial traumatic amputation of right lower leg, level unspecified, initial encounter Notes ↗
S88.922A Partial traumatic amputation of left lower leg, level unspecified, initial encounter Notes ↗
S88.929A Partial traumatic amputation of unspecified lower leg, level unspecified, initial encounter Notes ↗
S98.011A Complete traumatic amputation of right foot at ankle level, initial encounter Notes ↗
S98.012A Complete traumatic amputation of left foot at ankle level, initial encounter Notes ↗
S98.019A Complete traumatic amputation of unspecified foot at ankle level, initial encounter Notes ↗
S98.021A Partial traumatic amputation of right foot at ankle level, initial encounter Notes ↗
S98.022A Partial traumatic amputation of left foot at ankle level, initial encounter Notes ↗
S98.029A Partial traumatic amputation of unspecified foot at ankle level, initial encounter Notes ↗
S98.311A Complete traumatic amputation of right midfoot, initial encounter Notes ↗
S98.312A Complete traumatic amputation of left midfoot, initial encounter Notes ↗
S98.319A Complete traumatic amputation of unspecified midfoot, initial encounter Notes ↗
S98.321A Partial traumatic amputation of right midfoot, initial encounter Notes ↗
S98.322A Partial traumatic amputation of left midfoot, initial encounter Notes ↗
S98.329A Partial traumatic amputation of unspecified midfoot, initial encounter Notes ↗
S98.911A Complete traumatic amputation of right foot, level unspecified, initial encounter Notes ↗
S98.912A Complete traumatic amputation of left foot, level unspecified, initial encounter Notes ↗
S98.919A Complete traumatic amputation of unspecified foot, level unspecified, initial encounter Notes ↗
S98.921A Partial traumatic amputation of right foot, level unspecified, initial encounter Notes ↗
S98.922A Partial traumatic amputation of left foot, level unspecified, initial encounter Notes ↗
S98.929A Partial traumatic amputation of unspecified foot, level unspecified, initial encounter Notes ↗
T87.0X1 Complications of reattached (part of) right upper extremity Notes ↗
T87.0X2 Complications of reattached (part of) left upper extremity Notes ↗
T87.0X9 Complications of reattached (part of) unspecified upper extremity Notes ↗
T87.1X1 Complications of reattached (part of) right lower extremity Notes ↗
T87.1X2 Complications of reattached (part of) left lower extremity Notes ↗
T87.1X9 Complications of reattached (part of) unspecified lower extremity Notes ↗
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