| cpt_hcpcs {edgedata} | R Documentation |
RA-eligible CPT and HCPCS - Table 2
Description
A dataset containing the Current Procedural Terminology (CPT) and Health Care Procedure Coding System (HCPCS) codes that determine if a claim is eligible for risk adjustment.
Usage
cpt_hcpcs
Format
An object of class tbl_df (inherits from tbl, data.frame) with
6557 rows and 8 columns
- code
CPT/HCPCS code
- desc
Short description of the code
- prior
Whether or not the code was valid in the prior benefit year
- curr
Whether or not the code is valid in the current benefit year
- footnote
Any footnotes included in the CMS DIY file
Details
Risk adjustment requires that claims be face-to-face to count in the HHS-HCC model. The codes in this dataset denote a face-to-face procedure, so if one of these codes is found anywhere on a claim, it counts for risk adjustment.
Source
Data import and cleaning at: https://github.com/EeethB/edgedata/tree/main/data-raw
See Also
Other HCC tables:
adult_group,
adult_hcc,
adult_interaction,
adult_rxc_hcc_inter,
cc_hier,
child_group,
child_hcc,
icd_cc