| 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 |
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 ↗ |