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68 HCC

Cholangitis and Obstruction of Bile Duct Without Gallstones

CMS Model V28 8 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 68)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC68 2026 + 0.085
CFD HCC68 2026 + 0.354
CNA HCC68 2026 + 0.388
CND HCC68 2026 + 0.383
CPA HCC68 2026 + 0.391
CPD HCC68 2026 + 0.270
INS HCC68 2026 + 0.090

Mapped ICD-10-CM Diagnoses (8)

The following diagnoses map directly to HCC 68 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
K74.3 Primary biliary cirrhosis Notes ↗
K74.5 Biliary cirrhosis, unspecified Notes ↗
K83.01 Primary sclerosing cholangitis Notes ↗
K83.09 Other cholangitis Notes ↗
K83.1 Obstruction of bile duct Notes ↗
Q44.2 Atresia of bile ducts Notes ↗
Q44.3 Congenital stenosis and stricture of bile ducts Notes ↗
Q44.71 Alagille syndrome Notes ↗
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