What indicates an HCC or RxHCC code in the mapping tool?

What indicates an HCC or RxHCC code in the mapping tool?

• A. Blank columns
• B. DOS within the Data Collection Period
• C. Numbers in the right columns or YES
• D. Not coded if the columns are blank

Answer: (C)

In the mapping tool, you identify an HCC or RxHCC code by what appears in the right-hand columns for each potential code. If you see a number in those right-side cells or a simple YES, that shows the code has been assigned for that condition during the data collection period. Blank columns mean no code was assigned for that item, and the date of service itself doesn’t indicate a code. So the presence of a number or YES in the right columns is the clear sign that an HCC or RxHCC code is in use.

In the mapping tool, you identify an HCC or RxHCC code by what appears in the right-hand columns for each potential code. If you see a number in those right-side cells or a simple YES, that shows the code has been assigned for that condition during the data collection period. Blank columns mean no code was assigned for that item, and the date of service itself doesn’t indicate a code. So the presence of a number or YES in the right columns is the clear sign that an HCC or RxHCC code is in use.