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Provider Coding Education
HCC Risk Adjustment Coding and Documentation
The following links are intended to facilitate documentation, HCC Risk Adjustment ICD10 coding diagnoses and services that are provided to patients with Blue Cross NC coverage:
- Other Significant Endocrine and Metabolic Disorders (pdf)
- Substance Use Disorders (pdf)
- Coagulation Defects & Other Specified Hematological Disorders (March 20, 2023)
- Diabetes (March 20, 2023)
- Inflammatory Bowel Disease - Crohn's & Ulcerative Colitis (February 21, 2023)
- Congestive Heart Failure (February 21, 2023)
- Neoplasms & Related Conditions (January 18, 2023)
- Epilepsy, Seizure Disorders & Convulsions (January 18, 2023)
- Bipolar, Delusional & Personality Disorders (January 11, 2023)
- PVD & Atherosclerosis (October 19, 2022)
- COPD and Asthma (October 19, 2022)
- Major Depressive Disorder (October 18, 2022)
- Pancreatitis & Intestinal Malabsorption (October 18, 2022)
- Deep Vein Thrombosis & Pulmonary Embolism (March 2, 2022)
- Acute Myocardial Infarction and Cerebral Infarction (August 11, 2021)
The external coding guidelines provided on this website are intended as general information only and are designed to communicate information about coding and documentation in an educational format. Blue Cross NC is not providing or offering medical or legal advice, but rather, practical and useful information and tools in the area of clinical documentation and coding. Every reasonable effort has been taken to ensure that the educational information provided is accurate and useful. We make no claim, promise or guarantee of any kind about the accuracy, completeness or adequacy of the content for a specific claim, situation or provider office application and expressly disclaim liability for errors and omissions in such content. No guarantee is provided that the use of this information will prevent differences of opinion or disputes with Medicare, Medicaid or other third-party payers as to the amount that will be paid to providers. As diagnostic codes change annually, you should reference the current version of published coding guidelines and/or recommendations from nationally recognized coding organizations for the most detailed and up-to-date information. No copy or use beyond the online access or internal use of this presentation by an individual provider office should occur without express permission of Blue Cross NC.