NATIONAL BUREAU OF ECONOMIC RESEARCH
NATIONAL BUREAU OF ECONOMIC RESEARCH

ICD Condition Categories Crosswalk -- ICD CC Crosswalk

CMS implemented the Hierarchical Condition Categories (HCC) model in 2004 to adjust capitation payments to Medicare Advantage plans for the health expenditure risk of their enrollees.

CMS' Risk Adjustment materials include a lot of information such as HCC, RxHCC, HCC ESRD, and HCC PACE risk adjustment model documentation, coefficients, and other source materials. including a worked example. A ICD to Hierarchical Condition Categories (HCC) crosswalk is also available.

Prescription drug Hierarchical Condition Category (RxHCC) info is available beginning 2006.

End-Stage Renal Disease (ESRD) and Program of All-Inclusive Care for the Elderly (PACE) info is avaialable starting 2012.

The SAS, Stata, and CSV files are offered here with uniform file names and variable names to make the ICD to Condition Categories crosswalks a bit easier to use.

ICD Condition Categories Crosswalks

Year
Type
Version
Stata
SAS
CSV
Source Materials
Description
ZIP
Text
2016 RxHCC 5
dta
sas7bdat
csv
zip
txt
desc
2015 HCC 12
dta
sas7bdat
csv
zip
txt
desc
2015 HCC 21
dta
sas7bdat
csv
zip
txt
desc
2015 HCC 22
dta
sas7bdat
csv
zip
txt
desc
2015 HCC ESRD 21
dta
sas7bdat
csv
zip
txt
desc
2015 RxHCC 3
dta
sas7bdat
csv
zip
txt
desc
2014 HCC 12
dta
sas7bdat
csv
zip
txt
desc
2014 HCC 21
dta
sas7bdat
csv
zip
txt
desc
2014 HCC 22
dta
sas7bdat
csv
zip
txt
desc
2014 HCC ESRD 21
dta
sas7bdat
csv
zip
txt
desc
2014 RxHCC 3
dta
sas7bdat
csv
zip
txt
desc
2013 HCC 12
dta
sas7bdat
csv
zip
txt
desc
2013 HCC 21
dta
sas7bdat
csv
zip
txt
desc
2013 HCC ESRD 21
dta
sas7bdat
csv
zip
txt
desc
2013 RxHCC 3
dta
sas7bdat
csv
zip
txt
desc
2012 HCC 12
dta
sas7bdat
csv
zip
txt
desc
2012 HCC ESRD 21
dta
sas7bdat
csv
zip
txt
desc
2012 RxHCC 3
dta
sas7bdat
csv
zip
txt
desc
2012 PACE 21
dta
sas7bdat
csv
zip
txt
desc
2011 HCC 12
dta
sas7bdat
csv
zip
txt
desc
2011 HCC ESRD 21
dta
sas7bdat
csv
zip
txt
desc
2011 RxHCC 3
dta
sas7bdat
csv
zip
txt
desc
2010 HCC 12
dta
sas7bdat
csv
zip
txt
desc
2010 RxHCC 3
dta
sas7bdat
csv
zip
txt
desc
2009 HCC 12
dta
sas7bdat
csv
zip
txt
desc
2009 HCC ESRD 21
dta
sas7bdat
csv
zip
txt
desc
2009 RxHCC 3
dta
sas7bdat
csv
zip
txt
desc
2008 HCC ESRD 12
dta
sas7bdat
csv
zip
txt
desc
2007 HCC 12
dta
sas7bdat
csv
zip
txt
desc

To report errors, or if you have comments or suggestions, e-mail jroth@nber.org.

Last Update: October 6, 2015 Created by Jean Roth October 6, 2015

 
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