HCC 221 (V28)
Heart Transplant Status/Complications
15 ICD-10-CM codes map to this category in the CMS-HCC V28 risk adjustment model for payment year 2027. All 115 HCCs
Overrides: HCC 222 (End-Stage Heart Failure), HCC 223 (Heart Failure with Heart Assist Device/Artificial Heart), HCC 224 (Acute on Chronic Heart Failure), HCC 225 (Acute Heart Failure (Excludes Acute on Chronic)), HCC 226 (Heart Failure, Except End-Stage and Acute), HCC 227 (Cardiomyopathy/Myocarditis).
| T86.20 | Unspecified complication of heart transplant |
| T86.21 | Heart transplant rejection |
| T86.22 | Heart transplant failure |
| T86.23 | Heart transplant infection |
| T86.290 | Cardiac allograft vasculopathy |
| T86.298 | Other complications of heart transplant |
| T86.30 | Unspecified complication of heart-lung transplant |
| T86.31 | Heart-lung transplant rejection |
| T86.32 | Heart-lung transplant failure |
| T86.33 | Heart-lung transplant infection |
| T86.39 | Other complications of heart-lung transplant |
| Z48.21 | Encounter for aftercare following heart transplant |
| Z48.280 | Encounter for aftercare following heart-lung transplant |
| Z94.1 | Heart transplant status |
| Z94.3 | Heart and lungs transplant status |
