V28 HCC 112
Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions
Under the CMS-HCC V28 risk adjustment model (PY2026 Medicare Advantage), HCC 112 has a source-labeled community non-dual aged reference coefficient of 0.45, and 21 ICD-10-CM diagnosis codes appear in its official mapping. In the V28 hierarchy it is superseded by HCC 111 when a more severe category in the same disease group is also present.
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.
These are source-labeled code-level HCC coefficient references, not a full member score. Use the RAF Calculator with complete member context for CMS-HCC V28 PY2026. No score is shown unless every required source and calculation check passes.
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)
ICD-10-CM codes in the official mapping for this category under CMS-HCC V28 PY2026. Open any code for its full description 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 Hierarchical Condition Category in the CMS-HCC V28 risk adjustment model (100% phase-in for payment year 2026). 21 ICD-10-CM codes appear in its official mapping.
What reference coefficient is published for HCC 112?
The source-labeled community non-dual aged reference coefficient for CMS-HCC V28 category 112 is 0.45. The exact coefficient varies by enrollment segment (community Medicaid and originally-disabled status, and institutional); the full segment table is published in the CMS V28 model files.
How many ICD-10-CM codes map to HCC 112?
21 ICD-10-CM diagnosis codes appear in the official mapping for 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 ICD-10-CM order-file billability plus the published mapping and 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.