Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions
Under the CMS-HCC V28 risk adjustment model (PY2026 Medicare Advantage), HCC 112 carries a community non-dual aged RAF of 0.45, and 21 payable ICD-10-CM diagnosis codes map to it. In the V28 hierarchy it is superseded by HCC 111 when a more severe category in the same disease group is also present.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.
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 111 (a more severe category in the same disease group supersedes this one).
ICD-10-CM codes that map to HCC 112 (21)
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.
- D68.00Von Willebrand disease, unspecified
- D68.01Von Willebrand disease, type 1
- D68.020Von Willebrand disease, type 2A
- D68.021Von Willebrand disease, type 2B
- D68.022Von Willebrand disease, type 2M
- D68.023Von Willebrand disease, type 2N
- D68.029Von Willebrand disease, type 2, unspecified
- D68.03Von Willebrand disease, type 3
- D68.04Acquired von Willebrand disease
- D68.09Other von Willebrand disease
- D68.1Hereditary factor XI deficiency
- D68.2Hereditary deficiency of other clotting factors
- D68.311Acquired hemophilia
- D69.1Qualitative platelet defects
- D69.3Immune thrombocytopenic purpura
- D69.41Evans syndrome
- D69.42Congenital and hereditary thrombocytopenia purpura
- D69.49Other primary thrombocytopenia
- D75.84Other platelet-activating anti-PF4 disorders
- M31.10Thrombotic microangiopathy, unspecified
- M31.19Other thrombotic microangiopathy
Coder workflow notes
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Frequently asked questions
What is CMS-HCC V28 category 112?
HCC 112 is "Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions", a payment Hierarchical Condition Category in the CMS-HCC V28 risk adjustment model (100% phase-in for payment year 2026). 21 payable ICD-10-CM codes map to it.
What is the RAF weight for HCC 112?
The community non-dual aged relative factor for CMS-HCC V28 category 112 is 0.45. 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 112?
21 payable ICD-10-CM diagnosis codes map to CMS-HCC V28 category 112 (Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions) for payment year 2026.
Which categories trump HCC 112 in the V28 hierarchy?
HCC 112 is superseded by HCC 111 (Hemophilia, Male). When a more severe category in the same disease group is documented, it is counted instead of HCC 112.
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.