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Some ICDs not getting resolved for v24 and v28 #71

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pjainDL070 opened this issue Dec 6, 2023 · 1 comment
Open

Some ICDs not getting resolved for v24 and v28 #71

pjainDL070 opened this issue Dec 6, 2023 · 1 comment

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@pjainDL070
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Hi Yubin,

Thanks for this beautiful package that makes our job pretty simple. I use your package and I just love it compared to using the SA codes from CMS.
I recently noticed that for some of the ICD codes, the HCC as well as the Risk Score is not accounted for.

Like for example ICD10 code I4721 for model version V24 doesn't get resolved to an HCC (HCC96 I guess) while the latest crosswalk on the CMS website says so. After an elaborate analysis I found that in all there are 207 ICD10 codes from the CMS crosswalk that don't get resolved to corresponding HCC codes.

Similarly, there are 2 ICD10 codes, Z95811 and Z95812, that don't seem to get resolved to corresponding HCC codes for model version v28.
I use your tool and its great and it helps me save a lot of time. Can you help me fix this issue so that my scores are error free.

Best Regards
Priyank Jain

@Short-N
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Short-N commented Mar 27, 2024

You should update your local mapping tables each time CMS releases a software update (in case this repo is not updated). IIRC, it was the v28 Mid-Year release that added the Z95811 and Z95812 codes.

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