HCC risk adjustment coding & documentation

The following links are intended to facilitate documentation, HCC (hierarchical condition category) Risk Adjustment ICD10 coding diagnoses and services that are provided to patients with Blue Cross and Blue Shield of North Carolina (Blue Cross NC) coverage:

• Annual Preventive Visit Types (PDF) (April 17, 2026)
• Cancer Status – 30-Second Bedside Check (PDF) (June 4, 2026)
• Coagulation Defects & Other Specified Hematological Disorders (April 9, 2026)
• Combination Codes (PDF) (April 1, 2026)
• Congestive Heart Failure (PDF)
• DVT/PE One Pager (PDF) (April 9, 2026)
• Diabetes (PDF)
• Epilepsy, Seizure Disorders & Convulsions (January 18, 2023)
• Guidelines for Coding Acute and History of Myocardial Infarction (PDF)
• Guidelines for Coding Bipolar, Delusional, & Personality Disorders (PDF)
• Guidelines for Coding Cerebral Infarction (PDF)
• Guidelines For Coding General (PDF)
• Guidelines for Coding Historical Conditions (PDF) (April 9, 2026)
• Guidelines for Coding Neoplasm & Related Conditions (PDF)
• Guidelines for Coding Outpatient Chart: "Where to Look" (PDF)
• Guidelines for Coding Pulmonary Disease (PDF)
• Guidelines for Coding Social Determinants of Health (PDF)
• Guidelines for Coding Wounds, Ulcers & Amputations (PDF)
• Inflammatory Bowel Disease - Crohn's & Ulcerative Colitis (February 21, 2023)
• Other Significant Endocrine and Metabolic Disorders Documentation and Coding (PDF)
• Pediatric Condition Coding Resource Sheet (Including Asthma) (PDF)
• Type I Diabetes Reference Guide (PDF) (April 17, 2025)
• Type II Diabetes Reference Guide (PDF) (April 17, 2025)
• Substance Use Disorder Documentation and Coding (PDF)

• Acute Myocardial Infarction and Cerebral Infarction - YouTube⁠
• Annual Preventive Visits - YouTube⁠
• Behavioral Health HCC Coding Webinar 2026 - YouTube⁠⁠
• Cancer Coding & Risk Adjustment: Getting It Right with CMS Standards - YouTube⁠⁠⁠
• CMS - HCC Model vs HHS - HCC Model - YouTube⁠
• Diabetes with Complications Coding - YouTube⁠
• Endocrine Disorders Coding: Best Practices for Risk Adjustment and Compliance - YouTube⁠
• Pediatric Coding  - YouTube⁠
• Pulmonary Coding - YouTube⁠
• Risk Adjustable Neurological Coding - YouTube⁠⁠
• Vascular Disease Coding - YouTube⁠