HCC Pocket Coder for ICD-10-CM: 2017 EDITION

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This Pocket Coder provides you with diagnoses most frequently encountered in the senior population with long-term or advanced illnesses. It is not intended to guide or replace your independent clinical diagnostic decision making, but to help you quickly locate the codes for common conditions that affect the Medicare population.

Codes are arranged by clinical category. Three to seven characters with a decimal point after the third character will represent the highest specificity in ICD-10-CM. Codes in this guide listed with “a hyphen ,” for example, I48.-, indicate you must use another resource to determine the most specific code. Codes that are bolded are included in the Centers for Medicare and Medicaid Services Hierarchical Condition Category model, . This guide contains only the most frequently encountered diagnoses by providers for their patients that are part of the Medicare population, regardless of whether or not they are in the CMS-HCC model. It is not intended to be comprehensive, and you should reference additional resources to accurately code and report identified diagnoses that are not included in this list. The expectations of CMS are that the documentation and coding of diagnoses must be complete, accurate and specific. CMS1 indicates that data in the medical record impacts:
• Accurate reimbursement
• Communication among all members of the health care team
• Evaluation of the care provided
• Research and education