Groundbreaking: First-Ever HCC RAF Score Accessible Through REST API

First-Ever HCC RAF Score Accessible Through REST API

Image depicting the concept of elevating provider support and enhancing concurrent coding for risk adjustment in healthcare.

Elevate Provider Support:
Enhance Your Concurrent Coding
for Risk Adjustment

ICD-10-CM Codes K00-K95 K40-K46 K42 K42.1

ICD-10-CM Diagnosis Code K42.1

Effective Date: 10/01/2015 To 09/30/2025

Umbilical hernia with gangrene

CMS-HCC-V24	CMS-HCC-V28	RxHCC	Age	Gender	Maternity	Acute or Chronic	MCC
--	--	--	--	--	--	Acute	Yes

Applicable To for K42.1:

Gangrenous umbilical hernia

Back-references to K42.1

Hernia, hernial(acquired) (recurrent) K46.9

umbilicus, umbilical K42.9
- with
  - gangrene(and obstruction) K42.1

Incarceration, incarcerated

exomphalos K42.0
- gangrenous K42.1
sarcoepiplomphalocele K42.0
- with gangrene K42.1

Chapter, Section and Diagnosis Prefix for K42.1

Diseases of the digestive system

Hernia

Umbilical hernia