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HCC / Risk Adjustment (v28) Under the CMS-HCC Model v28 (effective for payment year 2026), Crohns disease and associated conditions map to the following Hierarchical Condition Categories: For Medicare Advantage patients with Crohns disease, annual risk adjustment requires recapture of HCC 35 (IBD) each calendar year
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subcutaneous or intramuscular. Important Components of CPT Code 96372 This code only applies when a provider administers a drug via IM or SQ injection
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