E76.02: Hurler-Scheie syndrome

Risk adjustment

E76.02 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

• HCC 49 Specified Lysosomal Storage Disorders9.256 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

E76.02 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

• A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
• A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography