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63 HCC

Chronic Liver Failure/End-Stage Liver Disorders

CMS Model V28 14 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 63)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC63 2026 + 1.102
CFD HCC63 2026 + 1.209
CNA HCC63 2026 + 0.962
CND HCC63 2026 + 1.032
CPA HCC63 2026 + 0.861
CPD HCC63 2026 + 1.101
INS HCC63 2026 + 0.894

Mapped ICD-10-CM Diagnoses (14)

The following diagnoses map directly to HCC 63 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
I85.00 Esophageal varices without bleeding Notes ↗
I85.01 Esophageal varices with bleeding Notes ↗
I85.10 Secondary esophageal varices without bleeding Notes ↗
I85.11 Secondary esophageal varices with bleeding Notes ↗
K70.40 Alcoholic hepatic failure without coma Notes ↗
K70.41 Alcoholic hepatic failure with coma Notes ↗
K72.10 Chronic hepatic failure without coma Notes ↗
K72.11 Chronic hepatic failure with coma Notes ↗
K72.90 Hepatic failure, unspecified without coma Notes ↗
K72.91 Hepatic failure, unspecified with coma Notes ↗
K76.6 Portal hypertension Notes ↗
K76.7 Hepatorenal syndrome Notes ↗
K76.81 Hepatopulmonary syndrome Notes ↗
K76.82 Hepatic encephalopathy Notes ↗
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