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78 HCC

Intestinal Obstruction/Perforation

CMS Model V28 76 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 78)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC78 2026 + 0.382
CFD HCC78 2026 + 0.548
CNA HCC78 2026 + 0.326
CND HCC78 2026 + 0.534
CPA HCC78 2026 + 0.478
CPD HCC78 2026 + 0.688
INS HCC78 2026 + 0.380

Mapped ICD-10-CM Diagnoses (76)

The following diagnoses map directly to HCC 78 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
A54.85 Gonococcal peritonitis Notes ↗
K25.1 Acute gastric ulcer with perforation Notes ↗
K25.2 Acute gastric ulcer with both hemorrhage and perforation Notes ↗
K25.5 Chronic or unspecified gastric ulcer with perforation Notes ↗
K25.6 Chronic or unspecified gastric ulcer with both hemorrhage and perforation Notes ↗
K26.1 Acute duodenal ulcer with perforation Notes ↗
K26.2 Acute duodenal ulcer with both hemorrhage and perforation Notes ↗
K26.5 Chronic or unspecified duodenal ulcer with perforation Notes ↗
K26.6 Chronic or unspecified duodenal ulcer with both hemorrhage and perforation Notes ↗
K27.1 Acute peptic ulcer, site unspecified, with perforation Notes ↗
K27.2 Acute peptic ulcer, site unspecified, with both hemorrhage and perforation Notes ↗
K27.5 Chronic or unspecified peptic ulcer, site unspecified, with perforation Notes ↗
K27.6 Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation Notes ↗
K28.1 Acute gastrojejunal ulcer with perforation Notes ↗
K28.2 Acute gastrojejunal ulcer with both hemorrhage and perforation Notes ↗
K28.5 Chronic or unspecified gastrojejunal ulcer with perforation Notes ↗
K28.6 Chronic or unspecified gastrojejunal ulcer with both hemorrhage and perforation Notes ↗
K50.012 Crohn's disease of small intestine with intestinal obstruction Notes ↗
K50.112 Crohn's disease of large intestine with intestinal obstruction Notes ↗
K50.812 Crohn's disease of both small and large intestine with intestinal obstruction Notes ↗
K50.912 Crohn's disease, unspecified, with intestinal obstruction Notes ↗
K51.012 Ulcerative (chronic) pancolitis with intestinal obstruction Notes ↗
K51.212 Ulcerative (chronic) proctitis with intestinal obstruction Notes ↗
K51.312 Ulcerative (chronic) rectosigmoiditis with intestinal obstruction Notes ↗
K51.412 Inflammatory polyps of colon with intestinal obstruction Notes ↗
K51.512 Left sided colitis with intestinal obstruction Notes ↗
K51.812 Other ulcerative colitis with intestinal obstruction Notes ↗
K51.912 Ulcerative colitis, unspecified with intestinal obstruction Notes ↗
K56.0 Paralytic ileus Notes ↗
K56.1 Intussusception Notes ↗
K56.2 Volvulus Notes ↗
K56.3 Gallstone ileus Notes ↗
K56.41 Fecal impaction Notes ↗
K56.49 Other impaction of intestine Notes ↗
K56.50 Intestinal adhesions [bands], unspecified as to partial versus complete obstruction Notes ↗
K56.51 Intestinal adhesions [bands], with partial obstruction Notes ↗
K56.52 Intestinal adhesions [bands] with complete obstruction Notes ↗
K56.600 Partial intestinal obstruction, unspecified as to cause Notes ↗
K56.601 Complete intestinal obstruction, unspecified as to cause Notes ↗
K56.609 Unspecified intestinal obstruction, unspecified as to partial versus complete obstruction Notes ↗
K56.690 Other partial intestinal obstruction Notes ↗
K56.691 Other complete intestinal obstruction Notes ↗
K56.699 Other intestinal obstruction unspecified as to partial versus complete obstruction Notes ↗
K56.7 Ileus, unspecified Notes ↗
K59.31 Toxic megacolon Notes ↗
K63.1 Perforation of intestine (nontraumatic) Notes ↗
K65.0 Generalized (acute) peritonitis Notes ↗
K65.1 Peritoneal abscess Notes ↗
K65.2 Spontaneous bacterial peritonitis Notes ↗
K65.3 Choleperitonitis Notes ↗
K65.4 Sclerosing mesenteritis Notes ↗
K65.8 Other peritonitis Notes ↗
K65.9 Peritonitis, unspecified Notes ↗
K67 Disorders of peritoneum in infectious diseases classified elsewhere Notes ↗
K68.12 Psoas muscle abscess Notes ↗
K68.19 Other retroperitoneal abscess Notes ↗
P77.1 Stage 1 necrotizing enterocolitis in newborn Notes ↗
P77.2 Stage 2 necrotizing enterocolitis in newborn Notes ↗
P77.3 Stage 3 necrotizing enterocolitis in newborn Notes ↗
P77.9 Necrotizing enterocolitis in newborn, unspecified Notes ↗
P78.0 Perinatal intestinal perforation Notes ↗
Q40.0 Congenital hypertrophic pyloric stenosis Notes ↗
Q41.0 Congenital absence, atresia and stenosis of duodenum Notes ↗
Q41.1 Congenital absence, atresia and stenosis of jejunum Notes ↗
Q41.2 Congenital absence, atresia and stenosis of ileum Notes ↗
Q41.8 Congenital absence, atresia and stenosis of other specified parts of small intestine Notes ↗
Q41.9 Congenital absence, atresia and stenosis of small intestine, part unspecified Notes ↗
Q42.0 Congenital absence, atresia and stenosis of rectum with fistula Notes ↗
Q42.1 Congenital absence, atresia and stenosis of rectum without fistula Notes ↗
Q42.2 Congenital absence, atresia and stenosis of anus with fistula Notes ↗
Q42.3 Congenital absence, atresia and stenosis of anus without fistula Notes ↗
Q42.8 Congenital absence, atresia and stenosis of other parts of large intestine Notes ↗
Q42.9 Congenital absence, atresia and stenosis of large intestine, part unspecified Notes ↗
Q43.1 Hirschsprung's disease Notes ↗
Q43.2 Other congenital functional disorders of colon Notes ↗
Q43.3 Congenital malformations of intestinal fixation Notes ↗
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