ICD-10 HCC Mapping Tools

Instructions

  • Click on the tool that best matches the guidelines for the project you are working.
  • Select the Year for the code set you want to search. More than one year can be selected. Remember the code set year runs from October 1 to September 31. Example: Date of service 10/15/18 will use the 2019 code set.
  • Enter the ICD-10 code you need to map. 
  • You can leave the ICD-10 code blank and search for all codes for a given HCC.
  • Codes that are highlighted in green indicate codes that map to any of the risk adjustment models in that tool.
 

Important Note: The Chronic Condition Indicator in this data shows cancers, acute MIs, CVA, DVTs and other similar conditions as chronic. Most projects will treat these conditions as acute conditions that need significant substantiation in order to code as current. Please consult your project guidelines before treating these kinds of conditions as chronic.

Choose a tool below

Green rows indicate the code maps under these models

Green rows indicate the code maps under these models

Green rows indicate the code maps under these models

HCC Only

Green rows indicate the code maps under these models

HHS Only

Created using the latest data from these sources:

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