4 hierarchical chronic condition codes added in 2019

To ensure proper payments for Medicare Advantage beneficiaries, CMS uses a risk adjustment model based on hierarchical condition categories, according to Anesthesia Business Consultants President and CEO Tony Mira.

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Four new hierarchical chronic condition codes were added in 2019. Know these codes to ensure proper payment:

1. HCC 56: Drug abuse, uncomplicated, except cannabis
2. HCC 58: Reactive and unspecified psychosis
3. HCC 60: Personality disorders
4. HCC 138: Chronic kidney disease, moderate (stage 3)

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