V28 HCC 108Community non-dual aged RAF 0.146

Sickle Cell Disorders, Except Sickle Cell Anemia (Hb-SS) and Thalassemia Beta Zero; Beta Thalassemia Major

Under the CMS-HCC V28 risk adjustment model (PY2026 Medicare Advantage), HCC 108 carries a community non-dual aged RAF of 0.146, and 39 payable ICD-10-CM diagnosis codes map to it. In the V28 hierarchy it is superseded by HCC 107 when a more severe category in the same disease group is also present.

Medically reviewed by Jess P., CPC · Reviewed: May 30, 2026

RAF factors

The community factor varies by Medicaid and originally-disabled status; the institutional factor applies to long-term-institutional members. These are the CMS-HCC V28 PY2026 relative factors.

Community NA: 0.146Community PBA: 0.303Community FBA: 0.103Community ND: 0.386Community PBD: 0.416Community FBD: 0.408Institutional: 0.098

Combine this factor with demographics and other HCCs in the RAF score calculator to model the full CMS-HCC V28 RAF for a member.

V28 hierarchy

Trumped by: HCC 107 (a more severe category in the same disease group supersedes this one).

ICD-10-CM codes that map to HCC 108 (39)

Payable diagnosis codes that map to this category under CMS-HCC V28 PY2026. Open any code for its full description, HCC mapping, and coding guidance.

Coder workflow notes

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A printable one-pager for HCC 108: which member codes risk-adjust, the RAF weight, and the MEAT your notes need to make it stick. Free, no card.

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Frequently asked questions

What is CMS-HCC V28 category 108?

HCC 108 is "Sickle Cell Disorders, Except Sickle Cell Anemia (Hb-SS) and Thalassemia Beta Zero; Beta Thalassemia Major", a payment Hierarchical Condition Category in the CMS-HCC V28 risk adjustment model (100% phase-in for payment year 2026). 39 payable ICD-10-CM codes map to it.

What is the RAF weight for HCC 108?

The community non-dual aged relative factor for CMS-HCC V28 category 108 is 0.146. The exact factor varies by enrollment segment (community Medicaid and originally-disabled status, and institutional); the full segment table is published in the CMS V28 Rate Announcement.

How many ICD-10-CM codes map to HCC 108?

39 payable ICD-10-CM diagnosis codes map to CMS-HCC V28 category 108 (Sickle Cell Disorders, Except Sickle Cell Anemia (Hb-SS) and Thalassemia Beta Zero; Beta Thalassemia Major) for payment year 2026.

Which categories trump HCC 108 in the V28 hierarchy?

HCC 108 is superseded by HCC 107 (Sickle Cell Anemia (Hb-SS) and Thalassemia Beta Zero). When a more severe category in the same disease group is documented, it is counted instead of HCC 108.

Related references

Sources

CMS published ICD-10-CM mapping file plus CMS-HCC v28 PY2026 model software. CMS-HCC V28 model published at CMS.gov Risk Adjustors; ICD-10-CM member codes from the CMS ICD-10-CM code set.

Verified current to CMS-HCC V28, payment year 2026 — last reviewed May 30, 2026.