HCC 213 (V28)
Cardio-Respiratory Failure and Shock
36 ICD-10-CM codes map to this category in the CMS-HCC V28 risk adjustment model for payment year 2027. All 115 HCCs
Overridden by: HCC 211 (Respirator Dependence/Tracheostomy Status/Complications), HCC 212 (Respiratory Arrest). If the patient also has one of these, only the higher HCC counts.
| I46.2 | Cardiac arrest due to underlying cardiac condition |
| I46.8 | Cardiac arrest due to other underlying condition |
| I46.9 | Cardiac arrest, cause unspecified |
| I49.01 | Ventricular fibrillation |
| I49.02 | Ventricular flutter |
| J80 | Acute respiratory distress syndrome |
| J81.0 | Acute pulmonary edema |
| J96.00 | Acute respiratory failure, unspecified whether with hypoxia or hypercapnia |
| J96.01 | Acute respiratory failure with hypoxia |
| J96.02 | Acute respiratory failure with hypercapnia |
| J96.10 | Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia |
| J96.11 | Chronic respiratory failure with hypoxia |
| J96.12 | Chronic respiratory failure with hypercapnia |
| J96.20 | Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia |
| J96.21 | Acute and chronic respiratory failure with hypoxia |
| J96.22 | Acute and chronic respiratory failure with hypercapnia |
| J96.90 | Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia |
| J96.91 | Respiratory failure, unspecified with hypoxia |
| J96.92 | Respiratory failure, unspecified with hypercapnia |
| P22.0 | Respiratory distress syndrome of newborn |
| P26.0 | Tracheobronchial hemorrhage originating in the perinatal period |
| P26.1 | Massive pulmonary hemorrhage originating in the perinatal period |
| P26.8 | Other pulmonary hemorrhages originating in the perinatal period |
| P26.9 | Unspecified pulmonary hemorrhage originating in the perinatal period |
| P27.0 | Wilson-Mikity syndrome |
| P27.1 | Bronchopulmonary dysplasia originating in the perinatal period |
| P27.8 | Other chronic respiratory diseases originating in the perinatal period |
| P27.9 | Unspecified chronic respiratory disease originating in the perinatal period |
| P28.0 | Primary atelectasis of newborn |
| P28.10 | Unspecified atelectasis of newborn |
| P28.11 | Resorption atelectasis without respiratory distress syndrome |
| P28.19 | Other atelectasis of newborn |
| P28.5 | Respiratory failure of newborn |
| P29.81 | Cardiac arrest of newborn |
| R57.0 | Cardiogenic shock |
| R57.9 | Shock, unspecified |