P27.1: Bronchopulmonary dysplasia originating in the perinatal period

Risk adjustment

P27.1 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

• HCC 213 Cardio-Respiratory Failure and Shock0.370 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

P27.1 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

• A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax