Relative factors by segment
Each segment is a separate regression; the factor is added to the beneficiary's demographic factors and other categories, then normalized and reduced by the coding intensity adjustment before it meets the plan's base rate. A factor of 1.000 equals the expected cost of an average beneficiary.
| Segment | Model code | Relative factor |
|---|---|---|
| Community, non-dual, aged | CNA_HCC182 | 0.478 |
| Community, non-dual, disabled | CND_HCC182 | 0.368 |
| Community, full-benefit dual, aged | CFA_HCC182 | 0.402 |
| Community, full-benefit dual, disabled | CFD_HCC182 | 0.308 |
| Community, partial-benefit dual, aged | CPA_HCC182 | 0.401 |
| Community, partial-benefit dual, disabled | CPD_HCC182 | 0.316 |
| Long-term institutional | INS_HCC182 | 0.270 |
Hierarchy
Hierarchical condition categories pay only the most severe manifestation of a disease. When HCC 180 (Quadriplegia) or HCC 181 (Paraplegia) or HCC 191 (Quadriplegic Cerebral Palsy) or HCC 192 (Cerebral Palsy, Except Quadriplegic) is also documented for the same beneficiary, HCC 182 is dropped from the score.
ICD-10-CM codes that map to HCC 182
251 codes map to this category in the PY2027 initial mapping, concentrated in the S14 (92), S34 (47), S24 (42), Q05 (10), Q04 (9), G95 (8) code families. Descriptions are the CMS mapping descriptions for the FY2026 code set; a code that is deleted or split in the October code update stays valid for dates of service before the change.
| ICD-10-CM | Description |
|---|---|
| B0082 | Herpes simplex myelitis |
| B0112 | Varicella myelitis |
| B0224 | Postherpetic myelitis |
| G041 | Tropical spastic paraplegia |
| G0482 | Acute flaccid myelitis |
| G0489 | Other myelitis |
| G0491 | Myelitis, unspecified |
| G054 | Myelitis in diseases classified elsewhere |
| G14 | Postpolio syndrome |
| G320 | Subacute combined degeneration of spinal cord in diseases classified elsewhere |
| G3281 | Cerebellar ataxia in diseases classified elsewhere |
| G373 | Acute transverse myelitis in demyelinating disease of central nervous system |
| G374 | Subacute necrotizing myelitis of central nervous system |
| G834 | Cauda equina syndrome |
| G901 | Familial dysautonomia [Riley-Day] |
| G950 | Syringomyelia and syringobulbia |
| G9511 | Acute infarction of spinal cord (embolic) (nonembolic) |
| G9519 | Other vascular myelopathies |
| G9520 | Unspecified cord compression |
| G9529 | Other cord compression |
| G9581 | Conus medullaris syndrome |
| G9589 | Other specified diseases of spinal cord |
| G959 | Disease of spinal cord, unspecified |
| G992 | Myelopathy in diseases classified elsewhere |
| P115 | Birth injury to spine and spinal cord |
| Q000 | Anencephaly |
| Q001 | Craniorachischisis |
| Q002 | Iniencephaly |
| Q010 | Frontal encephalocele |
| Q011 | Nasofrontal encephalocele |
| Q012 | Occipital encephalocele |
| Q018 | Encephalocele of other sites |
| Q019 | Encephalocele, unspecified |
| Q02 | Microcephaly |
| Q030 | Malformations of aqueduct of Sylvius |
| Q031 | Atresia of foramina of Magendie and Luschka |
| Q038 | Other congenital hydrocephalus |
| Q039 | Congenital hydrocephalus, unspecified |
| Q040 | Congenital malformations of corpus callosum |
| Q041 | Arhinencephaly |
| Q042 | Holoprosencephaly |
| Q043 | Other reduction deformities of brain |
| Q044 | Septo-optic dysplasia of brain |
| Q045 | Megalencephaly |
| Q046 | Congenital cerebral cysts |
| Q048 | Other specified congenital malformations of brain |
| Q049 | Congenital malformation of brain, unspecified |
| Q050 | Cervical spina bifida with hydrocephalus |
| Q051 | Thoracic spina bifida with hydrocephalus |
| Q052 | Lumbar spina bifida with hydrocephalus |
| Q053 | Sacral spina bifida with hydrocephalus |
| Q054 | Unspecified spina bifida with hydrocephalus |
| Q055 | Cervical spina bifida without hydrocephalus |
| Q056 | Thoracic spina bifida without hydrocephalus |
| Q057 | Lumbar spina bifida without hydrocephalus |
| Q058 | Sacral spina bifida without hydrocephalus |
| Q059 | Spina bifida, unspecified |
| Q060 | Amyelia |
| Q061 | Hypoplasia and dysplasia of spinal cord |
| Q062 | Diastematomyelia |
| Q063 | Other congenital cauda equina malformations |
| Q064 | Hydromyelia |
| Q068 | Other specified congenital malformations of spinal cord |
| Q069 | Congenital malformation of spinal cord, unspecified |
| Q0700 | Arnold-Chiari syndrome without spina bifida or hydrocephalus |
| Q0701 | Arnold-Chiari syndrome with spina bifida |
| Q0702 | Arnold-Chiari syndrome with hydrocephalus |
| Q0703 | Arnold-Chiari syndrome with spina bifida and hydrocephalus |
| Q078 | Other specified congenital malformations of nervous system |
| Q079 | Congenital malformation of nervous system, unspecified |
| S140XXA | Concussion and edema of cervical spinal cord, initial encounter |
| S140XXD | Concussion and edema of cervical spinal cord, subsequent encounter |
| S14101A | Unspecified injury at C1 level of cervical spinal cord, initial encounter |
| S14101D | Unspecified injury at C1 level of cervical spinal cord, subsequent encounter |
| S14102A | Unspecified injury at C2 level of cervical spinal cord, initial encounter |
| S14102D | Unspecified injury at C2 level of cervical spinal cord, subsequent encounter |
| S14103A | Unspecified injury at C3 level of cervical spinal cord, initial encounter |
| S14103D | Unspecified injury at C3 level of cervical spinal cord, subsequent encounter |
| S14104A | Unspecified injury at C4 level of cervical spinal cord, initial encounter |
| S14104D | Unspecified injury at C4 level of cervical spinal cord, subsequent encounter |
| S14105A | Unspecified injury at C5 level of cervical spinal cord, initial encounter |
| S14105D | Unspecified injury at C5 level of cervical spinal cord, subsequent encounter |
| S14106A | Unspecified injury at C6 level of cervical spinal cord, initial encounter |
| S14106D | Unspecified injury at C6 level of cervical spinal cord, subsequent encounter |
| S14107A | Unspecified injury at C7 level of cervical spinal cord, initial encounter |
| S14107D | Unspecified injury at C7 level of cervical spinal cord, subsequent encounter |
| S14108A | Unspecified injury at C8 level of cervical spinal cord, initial encounter |
| S14108D | Unspecified injury at C8 level of cervical spinal cord, subsequent encounter |
| S14109A | Unspecified injury at unspecified level of cervical spinal cord, initial encounter |
| S14109D | Unspecified injury at unspecified level of cervical spinal cord, subsequent encounter |
| S14121A | Central cord syndrome at C1 level of cervical spinal cord, initial encounter |
| S14121D | Central cord syndrome at C1 level of cervical spinal cord, subsequent encounter |
| S14122A | Central cord syndrome at C2 level of cervical spinal cord, initial encounter |
| S14122D | Central cord syndrome at C2 level of cervical spinal cord, subsequent encounter |
| S14123A | Central cord syndrome at C3 level of cervical spinal cord, initial encounter |
| S14123D | Central cord syndrome at C3 level of cervical spinal cord, subsequent encounter |
| S14124A | Central cord syndrome at C4 level of cervical spinal cord, initial encounter |
| S14124D | Central cord syndrome at C4 level of cervical spinal cord, subsequent encounter |
| S14125A | Central cord syndrome at C5 level of cervical spinal cord, initial encounter |
| S14125D | Central cord syndrome at C5 level of cervical spinal cord, subsequent encounter |
| S14126A | Central cord syndrome at C6 level of cervical spinal cord, initial encounter |
| S14126D | Central cord syndrome at C6 level of cervical spinal cord, subsequent encounter |
| S14127A | Central cord syndrome at C7 level of cervical spinal cord, initial encounter |
| S14127D | Central cord syndrome at C7 level of cervical spinal cord, subsequent encounter |
| S14128A | Central cord syndrome at C8 level of cervical spinal cord, initial encounter |
| S14128D | Central cord syndrome at C8 level of cervical spinal cord, subsequent encounter |
| S14129A | Central cord syndrome at unspecified level of cervical spinal cord, initial encounter |
| S14129D | Central cord syndrome at unspecified level of cervical spinal cord, subsequent encounter |
| S14131A | Anterior cord syndrome at C1 level of cervical spinal cord, initial encounter |
| S14131D | Anterior cord syndrome at C1 level of cervical spinal cord, subsequent encounter |
| S14132A | Anterior cord syndrome at C2 level of cervical spinal cord, initial encounter |
| S14132D | Anterior cord syndrome at C2 level of cervical spinal cord, subsequent encounter |
| S14133A | Anterior cord syndrome at C3 level of cervical spinal cord, initial encounter |
| S14133D | Anterior cord syndrome at C3 level of cervical spinal cord, subsequent encounter |
| S14134A | Anterior cord syndrome at C4 level of cervical spinal cord, initial encounter |
| S14134D | Anterior cord syndrome at C4 level of cervical spinal cord, subsequent encounter |
| S14135A | Anterior cord syndrome at C5 level of cervical spinal cord, initial encounter |
| S14135D | Anterior cord syndrome at C5 level of cervical spinal cord, subsequent encounter |
| S14136A | Anterior cord syndrome at C6 level of cervical spinal cord, initial encounter |
| S14136D | Anterior cord syndrome at C6 level of cervical spinal cord, subsequent encounter |
| S14137A | Anterior cord syndrome at C7 level of cervical spinal cord, initial encounter |
| S14137D | Anterior cord syndrome at C7 level of cervical spinal cord, subsequent encounter |
| S14138A | Anterior cord syndrome at C8 level of cervical spinal cord, initial encounter |
| S14138D | Anterior cord syndrome at C8 level of cervical spinal cord, subsequent encounter |
| S14139A | Anterior cord syndrome at unspecified level of cervical spinal cord, initial encounter |
| S14139D | Anterior cord syndrome at unspecified level of cervical spinal cord, subsequent encounter |
| S14141A | Brown-Sequard syndrome at C1 level of cervical spinal cord, initial encounter |
| S14141D | Brown-Sequard syndrome at C1 level of cervical spinal cord, subsequent encounter |
| S14142A | Brown-Sequard syndrome at C2 level of cervical spinal cord, initial encounter |
| S14142D | Brown-Sequard syndrome at C2 level of cervical spinal cord, subsequent encounter |
| S14143A | Brown-Sequard syndrome at C3 level of cervical spinal cord, initial encounter |
| S14143D | Brown-Sequard syndrome at C3 level of cervical spinal cord, subsequent encounter |
| S14144A | Brown-Sequard syndrome at C4 level of cervical spinal cord, initial encounter |
| S14144D | Brown-Sequard syndrome at C4 level of cervical spinal cord, subsequent encounter |
| S14145A | Brown-Sequard syndrome at C5 level of cervical spinal cord, initial encounter |
| S14145D | Brown-Sequard syndrome at C5 level of cervical spinal cord, subsequent encounter |
| S14146A | Brown-Sequard syndrome at C6 level of cervical spinal cord, initial encounter |
| S14146D | Brown-Sequard syndrome at C6 level of cervical spinal cord, subsequent encounter |
| S14147A | Brown-Sequard syndrome at C7 level of cervical spinal cord, initial encounter |
| S14147D | Brown-Sequard syndrome at C7 level of cervical spinal cord, subsequent encounter |
| S14148A | Brown-Sequard syndrome at C8 level of cervical spinal cord, initial encounter |
| S14148D | Brown-Sequard syndrome at C8 level of cervical spinal cord, subsequent encounter |
| S14149A | Brown-Sequard syndrome at unspecified level of cervical spinal cord, initial encounter |
| S14149D | Brown-Sequard syndrome at unspecified level of cervical spinal cord, subsequent encounter |
| S14151A | Other incomplete lesion at C1 level of cervical spinal cord, initial encounter |
| S14151D | Other incomplete lesion at C1 level of cervical spinal cord, subsequent encounter |
| S14152A | Other incomplete lesion at C2 level of cervical spinal cord, initial encounter |
| S14152D | Other incomplete lesion at C2 level of cervical spinal cord, subsequent encounter |
| S14153A | Other incomplete lesion at C3 level of cervical spinal cord, initial encounter |
| S14153D | Other incomplete lesion at C3 level of cervical spinal cord, subsequent encounter |
| S14154A | Other incomplete lesion at C4 level of cervical spinal cord, initial encounter |
| S14154D | Other incomplete lesion at C4 level of cervical spinal cord, subsequent encounter |
| S14155A | Other incomplete lesion at C5 level of cervical spinal cord, initial encounter |
| S14155D | Other incomplete lesion at C5 level of cervical spinal cord, subsequent encounter |
| S14156A | Other incomplete lesion at C6 level of cervical spinal cord, initial encounter |
| S14156D | Other incomplete lesion at C6 level of cervical spinal cord, subsequent encounter |
| S14157A | Other incomplete lesion at C7 level of cervical spinal cord, initial encounter |
| S14157D | Other incomplete lesion at C7 level of cervical spinal cord, subsequent encounter |
| S14158A | Other incomplete lesion at C8 level of cervical spinal cord, initial encounter |
| S14158D | Other incomplete lesion at C8 level of cervical spinal cord, subsequent encounter |
| S14159A | Other incomplete lesion at unspecified level of cervical spinal cord, initial encounter |
| S14159D | Other incomplete lesion at unspecified level of cervical spinal cord, subsequent encounter |
| S240XXA | Concussion and edema of thoracic spinal cord, initial encounter |
| S240XXD | Concussion and edema of thoracic spinal cord, subsequent encounter |
| S24101A | Unspecified injury at T1 level of thoracic spinal cord, initial encounter |
| S24101D | Unspecified injury at T1 level of thoracic spinal cord, subsequent encounter |
| S24102A | Unspecified injury at T2-T6 level of thoracic spinal cord, initial encounter |
| S24102D | Unspecified injury at T2-T6 level of thoracic spinal cord, subsequent encounter |
| S24103A | Unspecified injury at T7-T10 level of thoracic spinal cord, initial encounter |
| S24103D | Unspecified injury at T7-T10 level of thoracic spinal cord, subsequent encounter |
| S24104A | Unspecified injury at T11-T12 level of thoracic spinal cord, initial encounter |
| S24104D | Unspecified injury at T11-T12 level of thoracic spinal cord, subsequent encounter |
| S24109A | Unspecified injury at unspecified level of thoracic spinal cord, initial encounter |
| S24109D | Unspecified injury at unspecified level of thoracic spinal cord, subsequent encounter |
| S24131A | Anterior cord syndrome at T1 level of thoracic spinal cord, initial encounter |
| S24131D | Anterior cord syndrome at T1 level of thoracic spinal cord, subsequent encounter |
| S24132A | Anterior cord syndrome at T2-T6 level of thoracic spinal cord, initial encounter |
| S24132D | Anterior cord syndrome at T2-T6 level of thoracic spinal cord, subsequent encounter |
| S24133A | Anterior cord syndrome at T7-T10 level of thoracic spinal cord, initial encounter |
| S24133D | Anterior cord syndrome at T7-T10 level of thoracic spinal cord, subsequent encounter |
| S24134A | Anterior cord syndrome at T11-T12 level of thoracic spinal cord, initial encounter |
| S24134D | Anterior cord syndrome at T11-T12 level of thoracic spinal cord, subsequent encounter |
| S24139A | Anterior cord syndrome at unspecified level of thoracic spinal cord, initial encounter |
| S24139D | Anterior cord syndrome at unspecified level of thoracic spinal cord, subsequent encounter |
| S24141A | Brown-Sequard syndrome at T1 level of thoracic spinal cord, initial encounter |
| S24141D | Brown-Sequard syndrome at T1 level of thoracic spinal cord, subsequent encounter |
| S24142A | Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, initial encounter |
| S24142D | Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, subsequent encounter |
| S24143A | Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, initial encounter |
| S24143D | Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, subsequent encounter |
| S24144A | Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, initial encounter |
| S24144D | Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, subsequent encounter |
| S24149A | Brown-Sequard syndrome at unspecified level of thoracic spinal cord, initial encounter |
| S24149D | Brown-Sequard syndrome at unspecified level of thoracic spinal cord, subsequent encounter |
| S24151A | Other incomplete lesion at T1 level of thoracic spinal cord, initial encounter |
| S24151D | Other incomplete lesion at T1 level of thoracic spinal cord, subsequent encounter |
| S24152A | Other incomplete lesion at T2-T6 level of thoracic spinal cord, initial encounter |
| S24152D | Other incomplete lesion at T2-T6 level of thoracic spinal cord, subsequent encounter |
| S24153A | Other incomplete lesion at T7-T10 level of thoracic spinal cord, initial encounter |
| S24153D | Other incomplete lesion at T7-T10 level of thoracic spinal cord, subsequent encounter |
| S24154A | Other incomplete lesion at T11-T12 level of thoracic spinal cord, initial encounter |
| S24154D | Other incomplete lesion at T11-T12 level of thoracic spinal cord, subsequent encounter |
| S24159A | Other incomplete lesion at unspecified level of thoracic spinal cord, initial encounter |
| S24159D | Other incomplete lesion at unspecified level of thoracic spinal cord, subsequent encounter |
| S3401XA | Concussion and edema of lumbar spinal cord, initial encounter |
| S3401XD | Concussion and edema of lumbar spinal cord, subsequent encounter |
| S3402XA | Concussion and edema of sacral spinal cord, initial encounter |
| S3402XD | Concussion and edema of sacral spinal cord, subsequent encounter |
| S34101A | Unspecified injury to L1 level of lumbar spinal cord, initial encounter |
| S34101D | Unspecified injury to L1 level of lumbar spinal cord, subsequent encounter |
| S34102A | Unspecified injury to L2 level of lumbar spinal cord, initial encounter |
| S34102D | Unspecified injury to L2 level of lumbar spinal cord, subsequent encounter |
| S34103A | Unspecified injury to L3 level of lumbar spinal cord, initial encounter |
| S34103D | Unspecified injury to L3 level of lumbar spinal cord, subsequent encounter |
| S34104A | Unspecified injury to L4 level of lumbar spinal cord, initial encounter |
| S34104D | Unspecified injury to L4 level of lumbar spinal cord, subsequent encounter |
| S34105A | Unspecified injury to L5 level of lumbar spinal cord, initial encounter |
| S34105D | Unspecified injury to L5 level of lumbar spinal cord, subsequent encounter |
| S34109A | Unspecified injury to unspecified level of lumbar spinal cord, initial encounter |
| S34109D | Unspecified injury to unspecified level of lumbar spinal cord, subsequent encounter |
| S34111A | Complete lesion of L1 level of lumbar spinal cord, initial encounter |
| S34111D | Complete lesion of L1 level of lumbar spinal cord, subsequent encounter |
| S34112A | Complete lesion of L2 level of lumbar spinal cord, initial encounter |
| S34112D | Complete lesion of L2 level of lumbar spinal cord, subsequent encounter |
| S34113A | Complete lesion of L3 level of lumbar spinal cord, initial encounter |
| S34113D | Complete lesion of L3 level of lumbar spinal cord, subsequent encounter |
| S34114A | Complete lesion of L4 level of lumbar spinal cord, initial encounter |
| S34114D | Complete lesion of L4 level of lumbar spinal cord, subsequent encounter |
| S34115A | Complete lesion of L5 level of lumbar spinal cord, initial encounter |
| S34115D | Complete lesion of L5 level of lumbar spinal cord, subsequent encounter |
| S34119A | Complete lesion of unspecified level of lumbar spinal cord, initial encounter |
| S34119D | Complete lesion of unspecified level of lumbar spinal cord, subsequent encounter |
| S34121A | Incomplete lesion of L1 level of lumbar spinal cord, initial encounter |
| S34121D | Incomplete lesion of L1 level of lumbar spinal cord, subsequent encounter |
| S34122A | Incomplete lesion of L2 level of lumbar spinal cord, initial encounter |
| S34122D | Incomplete lesion of L2 level of lumbar spinal cord, subsequent encounter |
| S34123A | Incomplete lesion of L3 level of lumbar spinal cord, initial encounter |
| S34123D | Incomplete lesion of L3 level of lumbar spinal cord, subsequent encounter |
| S34124A | Incomplete lesion of L4 level of lumbar spinal cord, initial encounter |
| S34124D | Incomplete lesion of L4 level of lumbar spinal cord, subsequent encounter |
| S34125A | Incomplete lesion of L5 level of lumbar spinal cord, initial encounter |
| S34125D | Incomplete lesion of L5 level of lumbar spinal cord, subsequent encounter |
| S34129A | Incomplete lesion of unspecified level of lumbar spinal cord, initial encounter |
| S34129D | Incomplete lesion of unspecified level of lumbar spinal cord, subsequent encounter |
| S34131A | Complete lesion of sacral spinal cord, initial encounter |
| S34131D | Complete lesion of sacral spinal cord, subsequent encounter |
| S34132A | Incomplete lesion of sacral spinal cord, initial encounter |
| S34132D | Incomplete lesion of sacral spinal cord, subsequent encounter |
| S34139A | Unspecified injury to sacral spinal cord, initial encounter |
| S34139D | Unspecified injury to sacral spinal cord, subsequent encounter |
| S343XXA | Injury of cauda equina, initial encounter |
Where these codes sat in the V22 model
The V28 recalibration renumbered and regrouped categories; this table shows which legacy V22 categories the same ICD-10 codes belonged to, which is the quickest way to reconcile a V22-era HCC gap list with the current model.
| V22 HCC | Codes |
|---|---|
| 72 | 249 |
Capturing and defending the category
A category counts for a payment year when a mapped diagnosis is documented at least once during the data collection year by an acceptable provider type at a face-to-face or audio-video encounter, and when the note shows the condition was monitored, evaluated, assessed or treated. Chronic conditions do not carry forward: a category that is not re-documented in the year drops out of the score, which is why annual wellness visits and problem-list reconciliation are where most recapture happens. Risk adjustment data validation audits sample enrollees and ask for the medical record behind each submitted category; an unsupported category is removed and, under the extrapolation rules, the error rate is applied across the contract. The QuickIntell risk adjustment product surfaces suspected and unsupported categories from the chart, and the HCC hub lists every V28 category with its factor and code count.
Frequently asked questions
Which ICD-10 codes map to HCC 182?
251 ICD-10-CM codes map to HCC 182 in the CMS PY2027 initial mapping, for example B0082 Herpes simplex myelitis; B0112 Varicella myelitis; B0224 Postherpetic myelitis; G041 Tropical spastic paraplegia. The full list is on this page; a code counts only when it is documented at a face-to-face or video encounter in the data collection year and supported by the record.
How much does HCC 182 add to a risk score?
The V28 relative factor for HCC 182 is 0.478 for a community, non-dual, aged beneficiary, 0.402 for full-benefit dual aged, 0.368 for non-dual disabled and 0.270 for long-term institutional members. A factor of 1.000 equals the expected annual cost of an average beneficiary, so the category's share of the payment follows the plan's base rate for that segment.
Does HCC 182 count together with related categories?
No. Within a hierarchy only the most severe category is paid. HCC 182 is dropped when HCC 180 (Quadriplegia) or HCC 181 (Paraplegia) or HCC 191 (Quadriplegic Cerebral Palsy) or HCC 192 (Cerebral Palsy, Except Quadriplegic) is also present.
What has to be documented for HCC 182 to be valid?
The diagnosis must be recorded by an acceptable provider type during a face-to-face or audio-video encounter in the service year, with the note showing that the condition was monitored, evaluated, assessed or treated. Risk adjustment data validation audits recover payment for categories the record does not support, so the code on the claim and the assessment in the note must match.
Sources
Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-02. Verify against the primary file before billing or contracting decisions.
- ICD-10-CM to CMS-HCC V28 mappings, payment year 2027 initialVersion PY2027 initial ICD-10-CM mappings (dates of service 2026) · effective 2027-01-01 · file 2027 Initial ICD-10-CM Mappings.csvSHA-256 9c260b06d0dd2806…
- CMS-HCC V28 model software: labels, hierarchies and relative factorsVersion CMS-HCC V28 software V2826.115.T2 (PY2027 initial) · effective 2027-01-01 · file C2824T2N.csvSHA-256 20f38d537493b41c…
Disclaimer
Relative factors and mappings are reproduced from the CMS risk adjustment model files as an operational reference. Payment depends on the plan's base rate, normalization, the coding intensity adjustment and the enrollee's segment. Not legal, clinical or billing advice.