Medicare Advantage and Prescription Drug Plans December 28 ...

Plan Communications User Guide Appendices, Version 6.3
Item Field Size Position Comment Description
87 HCC087 1 130 Set to "1" if applicable,
otherwise "0"
88 HCC088 1 131 Set to "1" if applicable,
otherwise "0"
89 HCC096 1 132 Set to "1" if applicable,
otherwise "0"
90 HCC099 1 133 Set to "1" if applicable,
otherwise "0"
91 HCC100 1 134 Set to "1" if applicable,
otherwise "0"
92 HCC103 1 135 Set to "1" if applicable,
otherwise "0"
93 HCC104 1 136 Set to "1" if applicable,
otherwise "0"
94 HCC106 1 137 Set to "1" if applicable,
otherwise "0"
95 HCC107 1 138 Set to "1" if applicable,
otherwise "0"
96 HCC108 1 139 Set to "1" if applicable,
otherwise "0"
97 HCC110 1 140 Set to "1" if applicable,
otherwise "0"
98 HCC111 1 141 Set to "1" if applicable,
otherwise "0"
99 HCC112 1 142 Set to "1" if applicable,
otherwise "0"
100 HCC114 1 143 Set to "1" if applicable,
otherwise "0"
101 HCC115 1 144 Set to "1" if applicable,
otherwise "0"
102 HCC122 1 145 Set to "1" if applicable,
otherwise "0"
103 HCC124 1 146 Set to "1" if applicable,
otherwise "0"
104 HCC134 1 147 Set to "1" if applicable,
otherwise "0"
105 HCC135 1 148 Set to "1" if applicable,
otherwise "0"
Unstable Angina and Other Acute
Ischemic Heart Disease
Angina Pectoris
Specified Heart Arrhythmias
Cerebral Hemorrhage
Ischemic or Unspecified Stroke
Hemiplegia/Hemiparesis
Monoplegia, Other Paralytic
Syndromes
Atherosclerosis of the Extremities
with Ulceration or Gangrene
Vascular Disease with
Complications
Vascular Disease
Cystic Fibrosis
Chronic Obstructive Pulmonary
Disease
Fibrosis of Lung and Other Chronic
Lung Disorders
Aspiration and Specified Bacterial
Pneumonias
Pneumococcal Pneumonia,
Emphysema, Lung Abscess
Proliferative Diabetic Retinopathy
and Vitreous Hemorrhage
Exudative Macular Degeneration
Dialysis Status
Acute Renal Failure
December 28, 2012 F-66 Part C Risk Adjustment Model Output
Data File