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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.

Condition Category to ICD crosswalk files are 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.

A collection of data sets of ICD9 titles is available.

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

ICD HCC Crosswalk -- ICD RxHCC Crosswalk

Year

Stata

SAS

CSV

Source Materials

Description

ZIP

Excel

2019

dta

sas7bdat

csv

zip

xlsx

desc

2018

dta

sas7bdat

csv

zip

xlsx

desc

2017

dta

sas7bdat

csv

zip

xlsx

desc

2016

dta

sas7bdat

csv

zip

xls

desc

2015

CMS moved to ICD-10-CM diagnosis codes in the 2016 fiscal year which began October 1, 2015. So, January 1 - September 30, 2015, ICD-9-CM codes were used, and October 1, 2015 - December 31, 2015 ICD-10-CM codes are used.

2014

dta

sas7bdat

csv

zip

xls

desc

2013

dta

sas7bdat

csv

zip

xls

desc

2012

dta

sas7bdat

csv

zip

xls

desc

2011

dta

sas7bdat

csv

zip

xls

desc

2010

dta

sas7bdat

csv

zip

xls

desc

2009

dta

sas7bdat

csv

desc

2008

dta

sas7bdat

csv

desc

2007

dta

sas7bdat

csv

desc

2006

dta

sas7bdat

csv

desc

2005

dta

sas7bdat

csv

desc

2004

dta

sas7bdat

csv

desc

Contact data@nber.org with questions, comments, or suggestions.

Last Update: March 20, 2018

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