Generated Narrative: NamingSystem cmshcc Summary Defining URL http://terminology.hl7.org/NamingSystem/cmshcc Version 1.1.0 Name CMSHCC Title CMS Hierarchical Condition Categories Status active Definition The CMS-HCC model uses more than 9,000 ICD-10-CM codes, which are mapped to condition categories that predict costs well. The condition categories are based on diagnoses clinically related to one another and with similar predicted cost implications. Hierarchies are imposed on the condition categories to capture the most costly diagnoses. Hierarchy logic is imposed on certain condition categories to account for different hierarchical costs, thus, the term Hierarchical Condition Category, or HCC. For more information, see https://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Risk-Adjustors. The CMS HCCs are in the public domain and are free to use without restriction. Publisher Centers for Medicare & Medicaid Services Identifiers Type Value Preferred Period URI http://terminology.hl7.org/CodeSystem/cmshcc true 2021-12-02 --> (ongoing) OID 2.16.840.1.113883.6.349 true
Centers for Medicare & Medicaid Services
The CMS-HCC model uses more than 9,000 ICD-10-CM codes, which are mapped to condition categories that predict costs well. The condition categories are based on diagnoses clinically related to one another and with similar predicted cost implications. Hierarchies are imposed on the condition categories to capture the most costly diagnoses. Hierarchy logic is imposed on certain condition categories to account for different hierarchical costs, thus, the term Hierarchical Condition Category, or HCC. For more information, see https://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Risk-Adjustors. The CMS HCCs are in the public domain and are free to use without restriction.