HCC risk adjustment coding & documentation

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) hosts regular webinars on risk adjustment coding for providers. Each hour-long session covers various aspects of coding education to support accurate documentation and risk adjustment for quality outcomes.

The following links are intended to facilitate documentation, HCC Risk Adjustment ICD-10 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)
• Guidelines for Coding Epilepsy, Seizure Disorders & Convulsions (PDF)
• 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 Neurological Conditions (PDF) (September 16, 2026)
• 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
• Neurological Condition Coding: Best Practices for Risk Adjustment and Documentation - YouTube⁠⁠
• Pediatric Coding: Best Practices for Risk Adjustment and Documentation - YouTube⁠
• Pulmonary Coding - YouTube⁠
• Vascular Disease Coding - YouTube⁠