HCC 225 (V28)
Acute Heart Failure (Excludes Acute on Chronic)
6 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 221 (Heart Transplant Status/Complications), HCC 222 (End-Stage Heart Failure), HCC 223 (Heart Failure with Heart Assist Device/Artificial Heart), HCC 224 (Acute on Chronic Heart Failure). If the patient also has one of these, only the higher HCC counts.
Overrides: HCC 226 (Heart Failure, Except End-Stage and Acute), HCC 227 (Cardiomyopathy/Myocarditis).
| I50.21 | Acute systolic (congestive) heart failure |
| I50.31 | Acute diastolic (congestive) heart failure |
| I50.41 | Acute combined systolic (congestive) and diastolic (congestive) heart failure |
| I50.811 | Acute right heart failure |
| I50.813 | Acute on chronic right heart failure |
| P29.0 | Neonatal cardiac failure |