Medicare Advantage and Prescription Drug Plans December 28 ...

Plan Communications User Guide Appendices, Version 6.3
Item Field Size Position Comment Description
50 HCC019 1 93 Set to "1" if applicable,
otherwise "0"
51 HCC021 1 94 Set to "1" if applicable,
otherwise "0"
52 HCC022 1 95 Set to "1" if applicable,
otherwise "0"
53 HCC023 1 96 Set to "1" if applicable,
otherwise "0"
54 HCC027 1 97 Set to "1" if applicable,
otherwise "0"
55 HCC028 1 98 Set to "1" if applicable,
otherwise "0"
56 HCC029 1 99 Set to "1" if applicable,
otherwise "0"
57 HCC033 1 100 Set to "1" if applicable,
otherwise "0"
58 HCC034 1 101 Set to "1" if applicable,
otherwise "0"
59 HCC035 1 102 Set to "1" if applicable,
otherwise "0"
60 HCC039 1 103 Set to "1" if applicable,
otherwise "0"
61 HCC040 1 104 Set to "1" if applicable,
otherwise "0"
62 HCC046 1 105 Set to "1" if applicable,
otherwise "0"
63 HCC047 1 106 Set to "1" if applicable,
otherwise "0"
64 HCC048 1 107 Set to "1" if applicable,
otherwise "0"
65 HCC051 1 108 Set to "1" if applicable,
otherwise "0"
66 HCC052 1 109 Set to "1" if applicable,
otherwise "0"
67 HCC054 1 110 Set to "1" if applicable,
otherwise "0"
Diabetes without Complication
Protein-Calorie Malnutrition
Morbid Obesity
Other Significant Endocrine and
Metabolic Disorders
End-Stage Liver Disease
Cirrhosis of Liver
Chronic Hepatitis
Intestinal Obstruction/Perforation
Chronic Pancreatitis
Inflammatory Bowel Disease
Bone/Joint/Muscle
Infections/Necrosis
Rheumatoid Arthritis and
Inflammatory Connective Tissue
Disease
Severe Hematological Disorders
Disorders of Immunity
Coagulation Defects and Other
Specified Hematological Disorders
Dementia With Complications
Dementia Without Complication
Drug/Alcohol Psychosis
December 28, 2012 F-64 Part C Risk Adjustment Model Output
Data File