J4A.8: Other chronic lung allograft dysfunction

Risk adjustment

J4A.8 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

• HCC 276 Lung Transplant Status/Complications2.531 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

J4A.8 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

• A57115Billing and Coding: Noninvasive Ear or Pulse Oximetry For Oxygen Saturation