Try our free Medicare Risk Adjustment (MRA) Tool for researching diagnoses and conditions with the CMS HCC models for Medicare Part C and D.

There are 2 ways to find a diagnosis in the CMS payment model:

A) Enter a specific ICD-9 Code:

B)

Diagnoses indicated are for the most recent payment year as published by the Centers for Medicaid and Medicaid Services (CMS). This list is informational only and should not be replicated or copied. Please refer to the CMS website for all risk adjustment diagnoses updates within the risk adjustment models.