| Enrollment Model Type | Coeff Tag | Year | Weight Score |
|---|---|---|---|
| CFA | HCC48 |
2026 | + 0.300 |
| CFD | HCC48 |
2026 | + 0.178 |
| CNA | HCC48 |
2026 | + 0.186 |
| CND | HCC48 |
2026 | + 0.144 |
| CPA | HCC48 |
2026 | + 0.164 |
| CPD | HCC48 |
2026 | + 0.118 |
| INS | HCC48 |
2026 | + 0.442 |
The following diagnoses map directly to HCC 48 under the V28 risk adjustment model:
| ICD-10 Code | Clinical Diagnosis Description | Guideline |
|---|---|---|
| E66.01 | Morbid (severe) obesity due to excess calories | Notes ↗ |
| E66.2 | Morbid (severe) obesity with alveolar hypoventilation | Notes ↗ |
| E66.813 | Obesity, class 3 | Notes ↗ |
| Z68.41 | Body mass index [BMI] 40.0-44.9, adult | Notes ↗ |
| Z68.42 | Body mass index [BMI] 45.0-49.9, adult | Notes ↗ |
| Z68.43 | Body mass index [BMI] 50.0-59.9, adult | Notes ↗ |
| Z68.44 | Body mass index [BMI] 60.0-69.9, adult | Notes ↗ |
| Z68.45 | Body mass index [BMI] 70 or greater, adult | Notes ↗ |
| Z68.56 | Body mass index [BMI] pediatric, greater than or equal to 140% of the 95th percentile for age | Notes ↗ |