HCC 227 (V28)
Cardiomyopathy/Myocarditis
14 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), HCC 225 (Acute Heart Failure (Excludes Acute on Chronic)), HCC 226 (Heart Failure, Except End-Stage and Acute). If the patient also has one of these, only the higher HCC counts.
| A36.81 | Diphtheritic cardiomyopathy |
| B33.24 | Viral cardiomyopathy |
| I42.0 | Dilated cardiomyopathy |
| I42.1 | Obstructive hypertrophic cardiomyopathy |
| I42.2 | Other hypertrophic cardiomyopathy |
| I42.3 | Endomyocardial (eosinophilic) disease |
| I42.4 | Endocardial fibroelastosis |
| I42.5 | Other restrictive cardiomyopathy |
| I42.6 | Alcoholic cardiomyopathy |
| I42.8 | Other cardiomyopathies |
| I42.9 | Cardiomyopathy, unspecified |
| I43 | Cardiomyopathy in diseases classified elsewhere |
| I51.4 | Myocarditis, unspecified |
| I51.5 | Myocardial degeneration |
