V28 HCC 153Community non-dual aged RAF 0.396

Personality Disorders; Anorexia/Bulimia Nervosa

Under the CMS-HCC V28 risk adjustment model (PY2026 Medicare Advantage), HCC 153 carries a community non-dual aged RAF of 0.396, and 35 payable ICD-10-CM diagnosis codes map to it. In the V28 hierarchy it is superseded by HCC 151, HCC 152 when a more severe category in the same disease group is also present.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.

Community NA: 0.396Community PBA: 0.464Community FBA: 0.42Community ND: 0.29Community PBD: 0.232Community FBD: 0.255Institutional: 0.199

V28 hierarchy

Trumped by: HCC 151, HCC 152 (a more severe category in the same disease group supersedes this one).

Supersedes: HCC 154, HCC 155 (this category is counted instead of these when they co-occur).

ICD-10-CM codes that map to HCC 153 (35)

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.

Frequently asked questions

What is CMS-HCC V28 category 153?

HCC 153 is "Personality Disorders; Anorexia/Bulimia Nervosa", a payment Hierarchical Condition Category in the CMS-HCC V28 risk adjustment model (100% phase-in for payment year 2026). 35 payable ICD-10-CM codes map to it.

What is the RAF weight for HCC 153?

The community non-dual aged relative factor for CMS-HCC V28 category 153 is 0.396. 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 153?

35 payable ICD-10-CM diagnosis codes map to CMS-HCC V28 category 153 (Personality Disorders; Anorexia/Bulimia Nervosa) for payment year 2026.

Which categories trump HCC 153 in the V28 hierarchy?

HCC 153 is superseded by HCC 151 (Schizophrenia), HCC 152 (Psychosis, Except Schizophrenia). When a more severe category in the same disease group is documented, it is counted instead of HCC 153.

Source: CMS published ICD-10-CM mapping file plus CMS-HCC v28 PY2026 model software.