What is the difference between an HCC and a non-HCC ICD-10-CM code in risk adjustment?

• A. HCCs are non-weighted and apply to all diagnoses.
• B. HCCs are identical to all ICD-10-CM codes.
• C. HCCs are risk-weighted categories derived from certain ICD-10-CM codes; not all diagnoses map to HCCs, and only mapped diagnoses contribute to the RAF.
• D. HCCs are administrative only and do not affect risk.

Answer: (C)