High comorbidity subgroup interaction list

Effective Jul 17, 2019

Published Jul 17, 2019

Last Reviewed Jul 17, 2019

The chart in the attached PDF lists the subgroups that lead to high comorbidity adjustments under PDGM, based on the 2020 PPS proposed rule. Claims with secondary diagnoses within interacting categories will qualify for a high comorbidity adjustment. Click "Download file" to view the chart.

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