1/10/2024 0 Comments Meat abbreviation in hcc codingThese programs are abstracting data from the medical records for calculating risk adjustments based on disease severity. One reason is for quality assessment review of clinical documentation by contractors paid by the Centers for Medicare & Medicaid Services (CMS) for hierarchical condition category ( HCC) and Healthcare Effectiveness Data and Information Set ( HEDIS) studies. Requests for medical records come from many sources for different reasons. Remember to list these chronic diseases annually, even if primary management is by a consultant.Ĭoncussion w/o loss of consciousness, sequelaeĪny code reflecting major or severe head trauma has HCC weight.Įssential hypertension, hyperthyroidism or hypothyroidism, iron deficiency anemia, gastroesophageal reflux, osteoarthritis, and tobacco use.Ensure your organization receives credit for its chronically ill patients where credit is due. Must document Diagnostic and Statistical Manual of Mental Disorders criteria. “Run-of-the-mill” depression/anxiety has no HCC weight. *Also code Z99.81, dependent on supplemental oxygen.Ĭhronic obstructive pulmonary disease (COPD), other Malnutrition requires documentation of objective data (e.g., albumin less than 3.4) or subjective data (wasted appearance).ĭocument specifically if possible (smoking history, chest computed tomography results, pulmonary function tests, etc.). No HCC weight unless BMI is 40 or greater or there are comorbidities. Lung, gastrointestinal, or pancreatic cancers No HCC weight unless stage 4 or worse, or associated with HIV.Īctive infections - serious, systemic, opportunistic, or bone/joint/muscle.Īctive cancers - new, under treatment, or treatment declines - with documentation of any metastases. HTN + heart disease (no CHF) + CKD 5/ESRDĬKD stage 4, glomerular filtration rate (GFR) 15–29 HTN + CKD stage 5/end stage renal disease (ESRD) Relationship must be explicitly documented. Isolated essential HTN has no HCC weight. T2D with diabetic chronic kidney disease (CKD) If we determine that Diagnostic and Statistical Manual of Mental Disorders criteria are met, “major depressive disorder, recurrent” (F33.9) or “major depressive disorder, in partial remission” (F32.4) might be a more appropriate diagnosis. White in one month to discuss his mood concerns and requested records from his previous therapist. We scheduled a follow-up appointment for Mr. White's problem list also includes “depression with anxiety” (F41.8). White's hypothyroidism and essential hypertension, do not correspond to HCCs. Many common chronic conditions, such as Mr. This was one of several conditions we addressed during his appointment, and we made sure to code for it and document the current status of the condition and plans for addressing it. Comparing this list with our reference tool, only one - chronic hepatitis C status (ICD-10 code B18.2) - has an HCC weight. A quick review of his problem list showed 19 chronic conditions. He had been seen in our health system in the past, so his medical history was well-documented in our EHR. White, a 62-year-old male who was seen in our clinic for a new patient visit.
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