Z93.52: Appendico-vesicostomy status

Risk adjustment

Z93.52 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

• HCC 463 Artificial Openings for Feeding or Elimination0.673 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

Z93.52 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

• A56421Billing and Coding: CT of the Abdomen and Pelvis