Combination Type |
Combination of Categories |
Additional Secondary Diagnoses Required |
Minimum Severity of Illness |
| 1 |
Specified combinations of two major categories |
At least two additional secondary diagnoses of major or higher |
Extreme (4) |
| 2 |
Specified combinations of a major and moderate category |
At least two additional secondary diagnoses of major or higher |
Extreme (4) |
| 3 |
Specified combinations of two moderate categories |
At least two additional secondary diagnoses of moderate or higher |
Major (3) |
| 4 |
Specified combinations of a moderate and minor category |
At least two additional secondary diagnoses of moderate or higher |
Major (3) |
| 5 |
Specified combinations of two minor categories |
At least two additional secondary diagnoses of minor or higher |
Moderate (2) |
| 6 |
Specified combinations of two moderate categories |
None |
Major (3) |
| 11 |
Specified combinations of two major categories |
At least one additional secondary diagnosis of major |
Extreme (4) |
| 13 |
Specified combinations of two moderate categories |
At least one additional secondary diagnosis of moderate |
Major (3) |
| 15 |
Specified combinations of two minor categories |
At least one additional secondary diagnosis of minor |
Moderate (2) |