FAQ On Diabetic HCC Coding PPT
                     
FAQ ON DIABETIC HIERARCHICAL CONDITION CATEGORIES (HCC) CODING 
 
The hierarchical condition categories, commonly known as HCCs, are vital in medical billing and 
coding. The knowledge of HCCs is a must now for every medical practice, especially in diabetes, as 
healthcare organizations have to provide value-based patient care. Though HCCs is a concept that has 
been introduced previously, it was not at the forefront earlier. But with patient-centric care being the 
norm of the day, the knowledge of HCCs will enable the practices to reduce the risk of not getting paid 
or facing a prolonged reimbursement process. This article will discuss some of the basic FAQs on 
diabetic hierarchical condition categories (HCC) coding. 
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SOME OF THE BASIC FAQS ON DIABETIC 
(HCC) CODING :
1. What are HCCs In Diabetes?
Hierarchical condition categories (HCCs) coding is a set of codes in the medical practice that 
also have specific codes for diabetes associated with certain clinical diagnoses. The Centres of 
Medicare and Medicaid Services (CMS) have been using HCCs since 2004.
2. Who can use Diabetic HCCs codes?
Any patient insured under Medicare Advantage (MA) plans, specific Affordable Care Act (ACT) and 
Accountable Care Organizations (ACOs), and a few other plans can be categorized under HCCs if 
they are suffering from acute, chronic, or severe diabetic issues.
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3. What are the diabetes diagnosis hierarchical condition categories (HCCs)?
 For the diabetes diagnosis, there are three HCC coding, they are:
 HCC 17 Diabetes with Acute Complications
 HCC 18 Diabetes with Chronic Complications
 HCC 19 Diabetes without Complication
All these three HCCs coding begins with the categories of ICD-10-CM. They are as follows:
 E08 – There is an underlying condition causing diabetes mellitus
 E09 – Diabetes mellitus caused by inducing some chemical or drug
 E10 – Diabetes mellitus Type 1
 E11 – Diabetes mellitus Type 2
 E13 – Diabetes mellitus of other specifications
 These categories are further segmented into different subcategories based on their chronic and 
acute complications and without complications.
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4. How to ensure the HCC codes are followed correctly for a diabetic patient?
One of the best ways to ensure that the diabetic hierarchical condition categories (HCC) 
coding are properly mentioned when it comes to diabetic billing and coding is by working 
with experts in the field of medical billing. One such expert is 24/7 Medical Billing 
Services, as they can ensure proper HCC codes are used during 
medical billing and coding to warrant appropriate and timely reimbursement for the 
services.
5. What is HCC 17 in diabetes?
6. What is HCC 18 in the diabetes hierarchical condition category?
7. How is HCC 19 different from HCC 17 and HCC 18?
8. Are there any specific considerations for Diabetic HCCs coding?
9. How to understand the diabetes hierarchy conditions?
    to know more about FAQ’s on HCC Coding visit : https://bit.ly/3VLErDW
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ABOUT 24/7 MEDICAL BILLING SERVICES:
24/7 Medical Billing Services is the nation’s leading medical billing service provider catering 
services to more than 43 specialties across the entire 50 states. You can rely on us for end-
to-end revenue cycle management. We guarantee up to 10-20% increase in the revenue with 
cost reduction of your practice for up to 50%. 
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