HCC 226CMS-HCC V28
Heart Failure, Except End-Stage and Acute
ICD-10-CM codes mapped to HCC 226 (34)
I09.81Rheumatic heart failureI11.0Hypertensive heart disease with heart failureI13.0Hyp hrt & chr kdny dis w hrt fail and stg 1-4/unsp chr kdnyI13.2Hyp hrt & chr kdny dis w hrt fail and w stg 5 chr kdny/ESRDI27.0Primary pulmonary hypertensionI27.1Kyphoscoliotic heart diseaseI27.20Pulmonary hypertension, unspecifiedI27.21Secondary pulmonary arterial hypertensionI27.22Pulmonary hypertension due to left heart diseaseI27.23Pulmonary hypertension due to lung diseases and hypoxiaI27.24Chronic thromboembolic pulmonary hypertensionI27.29Other secondary pulmonary hypertensionI27.81Cor pulmonale (chronic)I27.83Eisenmenger's syndromeI27.89Other specified pulmonary heart diseasesI27.9Pulmonary heart disease, unspecifiedI28.0Arteriovenous fistula of pulmonary vesselsI28.1Aneurysm of pulmonary arteryI28.8Other diseases of pulmonary vesselsI28.9Disease of pulmonary vessels, unspecifiedI50.1Left ventricular failure, unspecifiedI50.20Unspecified systolic (congestive) heart failureI50.22Chronic systolic (congestive) heart failureI50.30Unspecified diastolic (congestive) heart failureI50.32Chronic diastolic (congestive) heart failureI50.40Unsp combined systolic and diastolic (congestive) hrt failI50.42Chronic combined systolic and diastolic hrt failI50.810Right heart failure, unspecifiedI50.812Chronic right heart failureI50.814Right heart failure due to left heart failureI50.82Biventricular heart failureI50.83High output heart failureI50.89Other heart failureI50.9Heart failure, unspecified
Frequently asked questions
What is HCC 226?
HCC 226 is the CMS-HCC V28 risk adjustment category for Heart Failure, Except End-Stage and Acute.
How many ICD-10-CM codes map to HCC 226?
34 ICD-10-CM codes map to HCC 226 under the CMS-HCC V28 model.
Risk adjustment data from CMS (public domain). This page shows the HCC category label and its ICD-10-to-HCC crosswalk only — no per-segment coefficients or RAF scores.