This table shows the current list of the HHS HCC codes.
The table demonstrates the hierarchy of the categories. For example, if a patient has had a heart transplant (HHS HCC 129) and still has congestive heart failure (HHS HCC 130), only the highest code in the hierarchy (HHS HCC 129) will be included in the calculation of the patient’s risk adjustment score.
|HHS Hierarchical Condition Category (HHS-HCC)||If the Disease Group is Listed in this column…||…Then drop the Disease Group(s) listed in this column|
|2||Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock|
|3||Central Nervous System Infections, Except Viral Meningitis||4|
|4||Viral or Unspecified Meningitis|
|8||Metastatic Cancer||9 ,10 ,11 ,12 ,13|
|9||Lung, Brain, and Other Severe Cancers, Including Pediatric Acute Lymphoid Leukemia||10 ,11 ,12 ,13|
|10||Non-Hodgkin's Lymphomas and Other Cancers and Tumors||11 ,12 ,13|
|11||Colorectal, Breast (Age < 50), Kidney, and Other Cancers||12 ,13|
|12||Breast (Age 50+) and Prostate Cancer, Benign/Uncertain Brain Tumors, and Other Cancers and Tumors||13|