Will CMS publish a list of risk adjustment eligible CPT/HCPCS codes?


The list of eligible Current Procedural Terminology (CPT)/ Healthcare Common Procedure Coding System (HCPCS) codes used for filtering diagnoses from encounter data records for each service year is available at https://www.cms.gov/medicare/fraud-and-abuse/physicianselfreferral/list_of_codes.html. In addition, risk adjustment information, including evaluation of the CMS-HCC Risk Adjustment Model, model diagnosis codes, Risk Adjustment model software (HCC, RxHCC, ESRD), and information for the relevant payment year, is available at https://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Announcements-and-Documents.
Source: MAO Help Desk Inquiry answered in October 2019

Last Updated: 10/01/2019