HCC 36 (V28)

Diabetes with Severe Acute Complications

18 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 35 (Pancreas Transplant Status). If the patient also has one of these, only the higher HCC counts.

Overrides: HCC 37 (Diabetes with Chronic Complications), HCC 38 (Diabetes with Glycemic, Unspecified, or No Complications).

E08.00Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E08.01Diabetes mellitus due to underlying condition with hyperosmolarity with coma
E08.10Diabetes mellitus due to underlying condition with ketoacidosis without coma
E08.11Diabetes mellitus due to underlying condition with ketoacidosis with coma
E08.641Diabetes mellitus due to underlying condition with hypoglycemia with coma
E10.10Type 1 diabetes mellitus with ketoacidosis without coma
E10.11Type 1 diabetes mellitus with ketoacidosis with coma
E10.641Type 1 diabetes mellitus with hypoglycemia with coma
E11.00Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E11.01Type 2 diabetes mellitus with hyperosmolarity with coma
E11.10Type 2 diabetes mellitus with ketoacidosis without coma
E11.11Type 2 diabetes mellitus with ketoacidosis with coma
E11.641Type 2 diabetes mellitus with hypoglycemia with coma
E13.00Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E13.01Other specified diabetes mellitus with hyperosmolarity with coma
E13.10Other specified diabetes mellitus with ketoacidosis without coma
E13.11Other specified diabetes mellitus with ketoacidosis with coma
E13.641Other specified diabetes mellitus with hypoglycemia with coma