HCC 2 (V28)

Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock

52 ICD-10-CM codes map to this category in the CMS-HCC V28 risk adjustment model for payment year 2027. All 115 HCCs

A02.1Salmonella sepsis
A20.7Septicemic plague
A22.7Anthrax sepsis
A26.7Erysipelothrix sepsis
A32.7Listerial sepsis
A39.2Acute meningococcemia
A39.3Chronic meningococcemia
A39.4Meningococcemia, unspecified
A40.0Sepsis due to streptococcus, group A
A40.1Sepsis due to streptococcus, group B
A40.3Sepsis due to Streptococcus pneumoniae
A40.8Other streptococcal sepsis
A40.9Streptococcal sepsis, unspecified
A41.01Sepsis due to Methicillin susceptible Staphylococcus aureus
A41.02Sepsis due to Methicillin resistant Staphylococcus aureus
A41.1Sepsis due to other specified staphylococcus
A41.2Sepsis due to unspecified staphylococcus
A41.3Sepsis due to Hemophilus influenzae
A41.4Sepsis due to anaerobes
A41.50Gram-negative sepsis, unspecified
A41.51Sepsis due to Escherichia coli [E. coli]
A41.52Sepsis due to Pseudomonas
A41.53Sepsis due to Serratia
A41.54Sepsis due to Acinetobacter baumannii
A41.59Other Gram-negative sepsis
A41.81Sepsis due to Enterococcus
A41.89Other specified sepsis
A41.9Sepsis, unspecified organism
A42.7Actinomycotic sepsis
A48.3Toxic shock syndrome
A54.86Gonococcal sepsis
B00.7Disseminated herpesviral disease
B37.7Candidal sepsis
M35.81Multisystem inflammatory syndrome
P02.70Newborn affected by fetal inflammatory response syndrome
P36.0Sepsis of newborn due to streptococcus, group B
P36.10Sepsis of newborn due to unspecified streptococci
P36.19Sepsis of newborn due to other streptococci
P36.2Sepsis of newborn due to Staphylococcus aureus
P36.30Sepsis of newborn due to unspecified staphylococci
P36.39Sepsis of newborn due to other staphylococci
P36.4Sepsis of newborn due to Escherichia coli
P36.5Sepsis of newborn due to anaerobes
P36.8Other bacterial sepsis of newborn
P36.9Bacterial sepsis of newborn, unspecified
R57.1Hypovolemic shock
R57.8Other shock
R65.10Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction
R65.11Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction
R65.20Severe sepsis without septic shock
R65.21Severe sepsis with septic shock
T79.4XXATraumatic shock, initial encounter