According to the mapping tool, when should you not code an HCC?

According to the mapping tool, when should you not code an HCC?

• A. If there are numbers in the right columns
• B. If there is YES
• C. If the columns are blank
• D. If there is both numbers and YES

Answer: (C)

In HCC mapping, you only code when there is evidence in the mapping fields that supports the diagnosis. If the relevant columns are blank, there’s no data to satisfy the mapping rule, so you should not code the HCC. The blank signals that the condition isn’t demonstrated in the chart, so assigning an HCC would be unfounded. If you see numbers in the right columns, or a YES flag, those indicate the mapping criteria are met and the HCC should be coded. If both numbers and YES appear, that also supports coding. In short, code is based on actual data or positive indicators; blank columns mean there’s nothing to map, so no coding is appropriate.

In HCC mapping, you only code when there is evidence in the mapping fields that supports the diagnosis. If the relevant columns are blank, there’s no data to satisfy the mapping rule, so you should not code the HCC. The blank signals that the condition isn’t demonstrated in the chart, so assigning an HCC would be unfounded.

If you see numbers in the right columns, or a YES flag, those indicate the mapping criteria are met and the HCC should be coded. If both numbers and YES appear, that also supports coding. In short, code is based on actual data or positive indicators; blank columns mean there’s nothing to map, so no coding is appropriate.