V28 HCC 155Community non-dual aged RAF 0.299
Major Depression, Moderate or Severe, without Psychosis
Under the CMS-HCC V28 risk adjustment model (PY2026 Medicare Advantage), HCC 155 carries a community non-dual aged RAF of 0.299, and 371 payable ICD-10-CM diagnosis codes map to it. In the V28 hierarchy it is superseded by HCC 151, HCC 152, HCC 153, HCC 154 when a more severe category in the same disease group is also present.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: 0.299Community PBA: 0.269Community FBA: 0.316Community ND: 0.166Community PBD: 0.108Community FBD: 0.126Institutional: 0.199
V28 hierarchy
Trumped by: HCC 151, HCC 152, HCC 153, HCC 154 (a more severe category in the same disease group supersedes this one).
ICD-10-CM codes that map to HCC 155 (371)
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.
- F32.1Major depressive disorder, single episode, moderate
- F32.2Major depressive disorder, single episode, severe without psychotic features
- F33.1Major depressive disorder, recurrent, moderate
- F33.2Major depressive disorder, recurrent severe without psychotic features
- R45.88Nonsuicidal self-harm
- T14.91XASuicide attempt, initial encounter
- T36.0X2APoisoning by penicillins, intentional self-harm, initial encounter
- T36.1X2APoisoning by cephalosporins and other beta-lactam antibiotics, intentional self-harm, initial encounter
- T36.2X2APoisoning by chloramphenicol group, intentional self-harm, initial encounter
- T36.3X2APoisoning by macrolides, intentional self-harm, initial encounter
- T36.4X2APoisoning by tetracyclines, intentional self-harm, initial encounter
- T36.5X2APoisoning by aminoglycosides, intentional self-harm, initial encounter
- T36.6X2APoisoning by rifampicins, intentional self-harm, initial encounter
- T36.7X2APoisoning by antifungal antibiotics, systemically used, intentional self-harm, initial encounter
- T36.8X2APoisoning by other systemic antibiotics, intentional self-harm, initial encounter
- T36.92XAPoisoning by unspecified systemic antibiotic, intentional self-harm, initial encounter
- T36.AX2APoisoning by fluoroquinolone antibiotics, intentional self-harm, initial encounter
- T37.0X2APoisoning by sulfonamides, intentional self-harm, initial encounter
- T37.1X2APoisoning by antimycobacterial drugs, intentional self-harm, initial encounter
- T37.2X2APoisoning by antimalarials and drugs acting on other blood protozoa, intentional self-harm, initial encounter
- T37.3X2APoisoning by other antiprotozoal drugs, intentional self-harm, initial encounter
- T37.4X2APoisoning by anthelminthics, intentional self-harm, initial encounter
- T37.5X2APoisoning by antiviral drugs, intentional self-harm, initial encounter
- T37.8X2APoisoning by other specified systemic anti-infectives and antiparasitics, intentional self-harm, initial encounter
- T37.92XAPoisoning by unspecified systemic anti-infective and antiparasitics, intentional self-harm, initial encounter
- T38.0X2APoisoning by glucocorticoids and synthetic analogues, intentional self-harm, initial encounter
- T38.1X2APoisoning by thyroid hormones and substitutes, intentional self-harm, initial encounter
- T38.2X2APoisoning by antithyroid drugs, intentional self-harm, initial encounter
- T38.3X2APoisoning by insulin and oral hypoglycemic [antidiabetic] drugs, intentional self-harm, initial encounter
- T38.4X2APoisoning by oral contraceptives, intentional self-harm, initial encounter
- T38.5X2APoisoning by other estrogens and progestogens, intentional self-harm, initial encounter
- T38.6X2APoisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, intentional self-harm, initial encounter
- T38.7X2APoisoning by androgens and anabolic congeners, intentional self-harm, initial encounter
- T38.802APoisoning by unspecified hormones and synthetic substitutes, intentional self-harm, initial encounter
- T38.812APoisoning by anterior pituitary [adenohypophyseal] hormones, intentional self-harm, initial encounter
- T38.892APoisoning by other hormones and synthetic substitutes, intentional self-harm, initial encounter
- T38.902APoisoning by unspecified hormone antagonists, intentional self-harm, initial encounter
- T38.992APoisoning by other hormone antagonists, intentional self-harm, initial encounter
- T39.012APoisoning by aspirin, intentional self-harm, initial encounter
- T39.092APoisoning by salicylates, intentional self-harm, initial encounter
- T39.1X2APoisoning by 4-Aminophenol derivatives, intentional self-harm, initial encounter
- T39.2X2APoisoning by pyrazolone derivatives, intentional self-harm, initial encounter
- T39.312APoisoning by propionic acid derivatives, intentional self-harm, initial encounter
- T39.392APoisoning by other nonsteroidal anti-inflammatory drugs [NSAID], intentional self-harm, initial encounter
- T39.4X2APoisoning by antirheumatics, not elsewhere classified, intentional self-harm, initial encounter
- T39.8X2APoisoning by other nonopioid analgesics and antipyretics, not elsewhere classified, intentional self-harm, initial encounter
- T39.92XAPoisoning by unspecified nonopioid analgesic, antipyretic and antirheumatic, intentional self-harm, initial encounter
- T40.0X2APoisoning by opium, intentional self-harm, initial encounter
- T40.1X2APoisoning by heroin, intentional self-harm, initial encounter
- T40.2X2APoisoning by other opioids, intentional self-harm, initial encounter
- T40.3X2APoisoning by methadone, intentional self-harm, initial encounter
- T40.412APoisoning by fentanyl or fentanyl analogs, intentional self-harm, initial encounter
- T40.422APoisoning by tramadol, intentional self-harm, initial encounter
- T40.492APoisoning by other synthetic narcotics, intentional self-harm, initial encounter
- T40.5X2APoisoning by cocaine, intentional self-harm, initial encounter
- T40.602APoisoning by unspecified narcotics, intentional self-harm, initial encounter
- T40.692APoisoning by other narcotics, intentional self-harm, initial encounter
- T40.712APoisoning by cannabis, intentional self-harm, initial encounter
- T40.722APoisoning by synthetic cannabinoids, intentional self-harm, initial encounter
- T40.8X2APoisoning by lysergide [LSD], intentional self-harm, initial encounter
- T40.902APoisoning by unspecified psychodysleptics [hallucinogens], intentional self-harm, initial encounter
- T40.992APoisoning by other psychodysleptics [hallucinogens], intentional self-harm, initial encounter
- T41.0X2APoisoning by inhaled anesthetics, intentional self-harm, initial encounter
- T41.1X2APoisoning by intravenous anesthetics, intentional self-harm, initial encounter
- T41.202APoisoning by unspecified general anesthetics, intentional self-harm, initial encounter
- T41.292APoisoning by other general anesthetics, intentional self-harm, initial encounter
- T41.3X2APoisoning by local anesthetics, intentional self-harm, initial encounter
- T41.42XAPoisoning by unspecified anesthetic, intentional self-harm, initial encounter
- T41.5X2APoisoning by therapeutic gases, intentional self-harm, initial encounter
- T42.0X2APoisoning by hydantoin derivatives, intentional self-harm, initial encounter
- T42.1X2APoisoning by iminostilbenes, intentional self-harm, initial encounter
- T42.2X2APoisoning by succinimides and oxazolidinediones, intentional self-harm, initial encounter
- T42.3X2APoisoning by barbiturates, intentional self-harm, initial encounter
- T42.4X2APoisoning by benzodiazepines, intentional self-harm, initial encounter
- T42.5X2APoisoning by mixed antiepileptics, intentional self-harm, initial encounter
- T42.6X2APoisoning by other antiepileptic and sedative-hypnotic drugs, intentional self-harm, initial encounter
- T42.72XAPoisoning by unspecified antiepileptic and sedative-hypnotic drugs, intentional self-harm, initial encounter
- T42.8X2APoisoning by antiparkinsonism drugs and other central muscle-tone depressants, intentional self-harm, initial encounter
- T43.012APoisoning by tricyclic antidepressants, intentional self-harm, initial encounter
- T43.022APoisoning by tetracyclic antidepressants, intentional self-harm, initial encounter
- T43.1X2APoisoning by monoamine-oxidase-inhibitor antidepressants, intentional self-harm, initial encounter
- T43.202APoisoning by unspecified antidepressants, intentional self-harm, initial encounter
- T43.212APoisoning by selective serotonin and norepinephrine reuptake inhibitors, intentional self-harm, initial encounter
- T43.222APoisoning by selective serotonin reuptake inhibitors, intentional self-harm, initial encounter
- T43.292APoisoning by other antidepressants, intentional self-harm, initial encounter
- T43.3X2APoisoning by phenothiazine antipsychotics and neuroleptics, intentional self-harm, initial encounter
- T43.4X2APoisoning by butyrophenone and thiothixene neuroleptics, intentional self-harm, initial encounter
- T43.502APoisoning by unspecified antipsychotics and neuroleptics, intentional self-harm, initial encounter
- T43.592APoisoning by other antipsychotics and neuroleptics, intentional self-harm, initial encounter
- T43.602APoisoning by unspecified psychostimulants, intentional self-harm, initial encounter
- T43.612APoisoning by caffeine, intentional self-harm, initial encounter
- T43.622APoisoning by amphetamines, intentional self-harm, initial encounter
- T43.632APoisoning by methylphenidate, intentional self-harm, initial encounter
- T43.642APoisoning by ecstasy, intentional self-harm, initial encounter
- T43.652APoisoning by methamphetamines intentional self-harm, initial encounter
- T43.692APoisoning by other psychostimulants, intentional self-harm, initial encounter
- T43.8X2APoisoning by other psychotropic drugs, intentional self-harm, initial encounter
- T43.92XAPoisoning by unspecified psychotropic drug, intentional self-harm, initial encounter
- T44.0X2APoisoning by anticholinesterase agents, intentional self-harm, initial encounter
- T44.1X2APoisoning by other parasympathomimetics [cholinergics], intentional self-harm, initial encounter
- T44.2X2APoisoning by ganglionic blocking drugs, intentional self-harm, initial encounter
- T44.3X2APoisoning by other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, intentional self-harm, initial encounter
- T44.4X2APoisoning by predominantly alpha-adrenoreceptor agonists, intentional self-harm, initial encounter
- T44.5X2APoisoning by predominantly beta-adrenoreceptor agonists, intentional self-harm, initial encounter
- T44.6X2APoisoning by alpha-adrenoreceptor antagonists, intentional self-harm, initial encounter
- T44.7X2APoisoning by beta-adrenoreceptor antagonists, intentional self-harm, initial encounter
- T44.8X2APoisoning by centrally-acting and adrenergic-neuron-blocking agents, intentional self-harm, initial encounter
- T44.902APoisoning by unspecified drugs primarily affecting the autonomic nervous system, intentional self-harm, initial encounter
- T44.992APoisoning by other drug primarily affecting the autonomic nervous system, intentional self-harm, initial encounter
- T45.0X2APoisoning by antiallergic and antiemetic drugs, intentional self-harm, initial encounter
- T45.1X2APoisoning by antineoplastic and immunosuppressive drugs, intentional self-harm, initial encounter
- T45.2X2APoisoning by vitamins, intentional self-harm, initial encounter
- T45.3X2APoisoning by enzymes, intentional self-harm, initial encounter
- T45.4X2APoisoning by iron and its compounds, intentional self-harm, initial encounter
- T45.512APoisoning by anticoagulants, intentional self-harm, initial encounter
- T45.522APoisoning by antithrombotic drugs, intentional self-harm, initial encounter
- T45.602APoisoning by unspecified fibrinolysis-affecting drugs, intentional self-harm, initial encounter
- T45.612APoisoning by thrombolytic drug, intentional self-harm, initial encounter
- T45.622APoisoning by hemostatic drug, intentional self-harm, initial encounter
- T45.692APoisoning by other fibrinolysis-affecting drugs, intentional self-harm, initial encounter
- T45.7X2APoisoning by anticoagulant antagonists, vitamin K and other coagulants, intentional self-harm, initial encounter
- T45.8X2APoisoning by other primarily systemic and hematological agents, intentional self-harm, initial encounter
- T45.92XAPoisoning by unspecified primarily systemic and hematological agent, intentional self-harm, initial encounter
- T45.AX2APoisoning by immune checkpoint inhibitors and immunostimulant drugs, intentional self-harm, initial encounter
- T46.0X2APoisoning by cardiac-stimulant glycosides and drugs of similar action, intentional self-harm, initial encounter
- T46.1X2APoisoning by calcium-channel blockers, intentional self-harm, initial encounter
- T46.2X2APoisoning by other antidysrhythmic drugs, intentional self-harm, initial encounter
- T46.3X2APoisoning by coronary vasodilators, intentional self-harm, initial encounter
- T46.4X2APoisoning by angiotensin-converting-enzyme inhibitors, intentional self-harm, initial encounter
- T46.5X2APoisoning by other antihypertensive drugs, intentional self-harm, initial encounter
- T46.6X2APoisoning by antihyperlipidemic and antiarteriosclerotic drugs, intentional self-harm, initial encounter
- T46.7X2APoisoning by peripheral vasodilators, intentional self-harm, initial encounter
- T46.8X2APoisoning by antivaricose drugs, including sclerosing agents, intentional self-harm, initial encounter
- T46.902APoisoning by unspecified agents primarily affecting the cardiovascular system, intentional self-harm, initial encounter
- T46.992APoisoning by other agents primarily affecting the cardiovascular system, intentional self-harm, initial encounter
- T47.0X2APoisoning by histamine H2-receptor blockers, intentional self-harm, initial encounter
- T47.1X2APoisoning by other antacids and anti-gastric-secretion drugs, intentional self-harm, initial encounter
- T47.2X2APoisoning by stimulant laxatives, intentional self-harm, initial encounter
- T47.3X2APoisoning by saline and osmotic laxatives, intentional self-harm, initial encounter
- T47.4X2APoisoning by other laxatives, intentional self-harm, initial encounter
- T47.5X2APoisoning by digestants, intentional self-harm, initial encounter
- T47.6X2APoisoning by antidiarrheal drugs, intentional self-harm, initial encounter
- T47.7X2APoisoning by emetics, intentional self-harm, initial encounter
- T47.8X2APoisoning by other agents primarily affecting gastrointestinal system, intentional self-harm, initial encounter
- T47.92XAPoisoning by unspecified agents primarily affecting the gastrointestinal system, intentional self-harm, initial encounter
- T48.0X2APoisoning by oxytocic drugs, intentional self-harm, initial encounter
- T48.1X2APoisoning by skeletal muscle relaxants [neuromuscular blocking agents], intentional self-harm, initial encounter
- T48.202APoisoning by unspecified drugs acting on muscles, intentional self-harm, initial encounter
- T48.292APoisoning by other drugs acting on muscles, intentional self-harm, initial encounter
- T48.3X2APoisoning by antitussives, intentional self-harm, initial encounter
- T48.4X2APoisoning by expectorants, intentional self-harm, initial encounter
- T48.5X2APoisoning by other anti-common-cold drugs, intentional self-harm, initial encounter
- T48.6X2APoisoning by antiasthmatics, intentional self-harm, initial encounter
- T48.902APoisoning by unspecified agents primarily acting on the respiratory system, intentional self-harm, initial encounter
- T48.992APoisoning by other agents primarily acting on the respiratory system, intentional self-harm, initial encounter
- T49.0X2APoisoning by local antifungal, anti-infective and anti-inflammatory drugs, intentional self-harm, initial encounter
- T49.1X2APoisoning by antipruritics, intentional self-harm, initial encounter
- T49.2X2APoisoning by local astringents and local detergents, intentional self-harm, initial encounter
- T49.3X2APoisoning by emollients, demulcents and protectants, intentional self-harm, initial encounter
- T49.4X2APoisoning by keratolytics, keratoplastics, and other hair treatment drugs and preparations, intentional self-harm, initial encounter
- T49.5X2APoisoning by ophthalmological drugs and preparations, intentional self-harm, initial encounter
- T49.6X2APoisoning by otorhinolaryngological drugs and preparations, intentional self-harm, initial encounter
- T49.7X2APoisoning by dental drugs, topically applied, intentional self-harm, initial encounter
- T49.8X2APoisoning by other topical agents, intentional self-harm, initial encounter
- T49.92XAPoisoning by unspecified topical agent, intentional self-harm, initial encounter
- T50.0X2APoisoning by mineralocorticoids and their antagonists, intentional self-harm, initial encounter
- T50.1X2APoisoning by loop [high-ceiling] diuretics, intentional self-harm, initial encounter
- T50.2X2APoisoning by carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, intentional self-harm, initial encounter
- T50.3X2APoisoning by electrolytic, caloric and water-balance agents, intentional self-harm, initial encounter
- T50.4X2APoisoning by drugs affecting uric acid metabolism, intentional self-harm, initial encounter
- T50.5X2APoisoning by appetite depressants, intentional self-harm, initial encounter
- T50.6X2APoisoning by antidotes and chelating agents, intentional self-harm, initial encounter
- T50.7X2APoisoning by analeptics and opioid receptor antagonists, intentional self-harm, initial encounter
- T50.8X2APoisoning by diagnostic agents, intentional self-harm, initial encounter
- T50.902APoisoning by unspecified drugs, medicaments and biological substances, intentional self-harm, initial encounter
- T50.912APoisoning by multiple unspecified drugs, medicaments and biological substances, intentional self-harm, initial encounter
- T50.992APoisoning by other drugs, medicaments and biological substances, intentional self-harm, initial encounter
- T50.A12APoisoning by pertussis vaccine, including combinations with a pertussis component, intentional self-harm, initial encounter
- T50.A22APoisoning by mixed bacterial vaccines without a pertussis component, intentional self-harm, initial encounter
- T50.A92APoisoning by other bacterial vaccines, intentional self-harm, initial encounter
- T50.B12APoisoning by smallpox vaccines, intentional self-harm, initial encounter
- T50.B92APoisoning by other viral vaccines, intentional self-harm, initial encounter
- T50.Z12APoisoning by immunoglobulin, intentional self-harm, initial encounter
- T50.Z92APoisoning by other vaccines and biological substances, intentional self-harm, initial encounter
- T51.0X2AToxic effect of ethanol, intentional self-harm, initial encounter
- T51.1X2AToxic effect of methanol, intentional self-harm, initial encounter
- T51.2X2AToxic effect of 2-Propanol, intentional self-harm, initial encounter
- T51.3X2AToxic effect of fusel oil, intentional self-harm, initial encounter
- T51.8X2AToxic effect of other alcohols, intentional self-harm, initial encounter
- T51.92XAToxic effect of unspecified alcohol, intentional self-harm, initial encounter
- T52.0X2AToxic effect of petroleum products, intentional self-harm, initial encounter
- T52.1X2AToxic effect of benzene, intentional self-harm, initial encounter
- T52.2X2AToxic effect of homologues of benzene, intentional self-harm, initial encounter
- T52.3X2AToxic effect of glycols, intentional self-harm, initial encounter
- T52.4X2AToxic effect of ketones, intentional self-harm, initial encounter
- T52.8X2AToxic effect of other organic solvents, intentional self-harm, initial encounter
- T52.92XAToxic effect of unspecified organic solvent, intentional self-harm, initial encounter
- T53.0X2AToxic effect of carbon tetrachloride, intentional self-harm, initial encounter
- T53.1X2AToxic effect of chloroform, intentional self-harm, initial encounter
- T53.2X2AToxic effect of trichloroethylene, intentional self-harm, initial encounter
- T53.3X2AToxic effect of tetrachloroethylene, intentional self-harm, initial encounter
- T53.4X2AToxic effect of dichloromethane, intentional self-harm, initial encounter
- T53.5X2AToxic effect of chlorofluorocarbons, intentional self-harm, initial encounter
- T53.6X2AToxic effect of other halogen derivatives of aliphatic hydrocarbons, intentional self-harm, initial encounter
- T53.7X2AToxic effect of other halogen derivatives of aromatic hydrocarbons, intentional self-harm, initial encounter
- T53.92XAToxic effect of unspecified halogen derivatives of aliphatic and aromatic hydrocarbons, intentional self-harm, initial encounter
- T54.0X2AToxic effect of phenol and phenol homologues, intentional self-harm, initial encounter
- T54.1X2AToxic effect of other corrosive organic compounds, intentional self-harm, initial encounter
- T54.2X2AToxic effect of corrosive acids and acid-like substances, intentional self-harm, initial encounter
- T54.3X2AToxic effect of corrosive alkalis and alkali-like substances, intentional self-harm, initial encounter
- T54.92XAToxic effect of unspecified corrosive substance, intentional self-harm, initial encounter
- T55.0X2AToxic effect of soaps, intentional self-harm, initial encounter
- T55.1X2AToxic effect of detergents, intentional self-harm, initial encounter
- T56.0X2AToxic effect of lead and its compounds, intentional self-harm, initial encounter
- T56.1X2AToxic effect of mercury and its compounds, intentional self-harm, initial encounter
- T56.2X2AToxic effect of chromium and its compounds, intentional self-harm, initial encounter
- T56.3X2AToxic effect of cadmium and its compounds, intentional self-harm, initial encounter
- T56.4X2AToxic effect of copper and its compounds, intentional self-harm, initial encounter
- T56.5X2AToxic effect of zinc and its compounds, intentional self-harm, initial encounter
- T56.6X2AToxic effect of tin and its compounds, intentional self-harm, initial encounter
- T56.7X2AToxic effect of beryllium and its compounds, intentional self-harm, initial encounter
- T56.812AToxic effect of thallium, intentional self-harm, initial encounter
- T56.822AToxic effect of gadolinium, intentional self-harm, initial encounter
- T56.892AToxic effect of other metals, intentional self-harm, initial encounter
- T56.92XAToxic effect of unspecified metal, intentional self-harm, initial encounter
- T57.0X2AToxic effect of arsenic and its compounds, intentional self-harm, initial encounter
- T57.1X2AToxic effect of phosphorus and its compounds, intentional self-harm, initial encounter
- T57.2X2AToxic effect of manganese and its compounds, intentional self-harm, initial encounter
- T57.3X2AToxic effect of hydrogen cyanide, intentional self-harm, initial encounter
- T57.8X2AToxic effect of other specified inorganic substances, intentional self-harm, initial encounter
- T57.92XAToxic effect of unspecified inorganic substance, intentional self-harm, initial encounter
- T58.02XAToxic effect of carbon monoxide from motor vehicle exhaust, intentional self-harm, initial encounter
- T58.12XAToxic effect of carbon monoxide from utility gas, intentional self-harm, initial encounter
- T58.2X2AToxic effect of carbon monoxide from incomplete combustion of other domestic fuels, intentional self-harm, initial encounter
- T58.8X2AToxic effect of carbon monoxide from other source, intentional self-harm, initial encounter
- T58.92XAToxic effect of carbon monoxide from unspecified source, intentional self-harm, initial encounter
- T59.0X2AToxic effect of nitrogen oxides, intentional self-harm, initial encounter
- T59.1X2AToxic effect of sulfur dioxide, intentional self-harm, initial encounter
- T59.2X2AToxic effect of formaldehyde, intentional self-harm, initial encounter
- T59.3X2AToxic effect of lacrimogenic gas, intentional self-harm, initial encounter
- T59.4X2AToxic effect of chlorine gas, intentional self-harm, initial encounter
- T59.5X2AToxic effect of fluorine gas and hydrogen fluoride, intentional self-harm, initial encounter
- T59.6X2AToxic effect of hydrogen sulfide, intentional self-harm, initial encounter
- T59.7X2AToxic effect of carbon dioxide, intentional self-harm, initial encounter
- T59.812AToxic effect of smoke, intentional self-harm, initial encounter
- T59.892AToxic effect of other specified gases, fumes and vapors, intentional self-harm, initial encounter
- T59.92XAToxic effect of unspecified gases, fumes and vapors, intentional self-harm, initial encounter
- T60.0X2AToxic effect of organophosphate and carbamate insecticides, intentional self-harm, initial encounter
- T60.1X2AToxic effect of halogenated insecticides, intentional self-harm, initial encounter
- T60.2X2AToxic effect of other insecticides, intentional self-harm, initial encounter
- T60.3X2AToxic effect of herbicides and fungicides, intentional self-harm, initial encounter
- T60.4X2AToxic effect of rodenticides, intentional self-harm, initial encounter
- T60.8X2AToxic effect of other pesticides, intentional self-harm, initial encounter
- T60.92XAToxic effect of unspecified pesticide, intentional self-harm, initial encounter
- T61.02XACiguatera fish poisoning, intentional self-harm, initial encounter
- T61.12XAScombroid fish poisoning, intentional self-harm, initial encounter
- T61.772AOther fish poisoning, intentional self-harm, initial encounter
- T61.782AOther shellfish poisoning, intentional self-harm, initial encounter
- T61.8X2AToxic effect of other seafood, intentional self-harm, initial encounter
- T61.92XAToxic effect of unspecified seafood, intentional self-harm, initial encounter
- T62.0X2AToxic effect of ingested mushrooms, intentional self-harm, initial encounter
- T62.1X2AToxic effect of ingested berries, intentional self-harm, initial encounter
- T62.2X2AToxic effect of other ingested (parts of) plant(s), intentional self-harm, initial encounter
- T62.8X2AToxic effect of other specified noxious substances eaten as food, intentional self-harm, initial encounter
- T62.92XAToxic effect of unspecified noxious substance eaten as food, intentional self-harm, initial encounter
- T63.002AToxic effect of unspecified snake venom, intentional self-harm, initial encounter
- T63.012AToxic effect of rattlesnake venom, intentional self-harm, initial encounter
- T63.022AToxic effect of coral snake venom, intentional self-harm, initial encounter
- T63.032AToxic effect of taipan venom, intentional self-harm, initial encounter
- T63.042AToxic effect of cobra venom, intentional self-harm, initial encounter
- T63.062AToxic effect of venom of other North and South American snake, intentional self-harm, initial encounter
- T63.072AToxic effect of venom of other Australian snake, intentional self-harm, initial encounter
- T63.082AToxic effect of venom of other African and Asian snake, intentional self-harm, initial encounter
- T63.092AToxic effect of venom of other snake, intentional self-harm, initial encounter
- T63.112AToxic effect of venom of gila monster, intentional self-harm, initial encounter
- T63.122AToxic effect of venom of other venomous lizard, intentional self-harm, initial encounter
- T63.192AToxic effect of venom of other reptiles, intentional self-harm, initial encounter
- T63.2X2AToxic effect of venom of scorpion, intentional self-harm, initial encounter
- T63.302AToxic effect of unspecified spider venom, intentional self-harm, initial encounter
- T63.312AToxic effect of venom of black widow spider, intentional self-harm, initial encounter
- T63.322AToxic effect of venom of tarantula, intentional self-harm, initial encounter
- T63.332AToxic effect of venom of brown recluse spider, intentional self-harm, initial encounter
- T63.392AToxic effect of venom of other spider, intentional self-harm, initial encounter
- T63.412AToxic effect of venom of centipedes and venomous millipedes, intentional self-harm, initial encounter
- T63.422AToxic effect of venom of ants, intentional self-harm, initial encounter
- T63.432AToxic effect of venom of caterpillars, intentional self-harm, initial encounter
- T63.442AToxic effect of venom of bees, intentional self-harm, initial encounter
- T63.452AToxic effect of venom of hornets, intentional self-harm, initial encounter
- T63.462AToxic effect of venom of wasps, intentional self-harm, initial encounter
- T63.482AToxic effect of venom of other arthropod, intentional self-harm, initial encounter
- T63.512AToxic effect of contact with stingray, intentional self-harm, initial encounter
- T63.592AToxic effect of contact with other venomous fish, intentional self-harm, initial encounter
- T63.612AToxic effect of contact with Portuguese Man-o-war, intentional self-harm, initial encounter
- T63.622AToxic effect of contact with other jellyfish, intentional self-harm, initial encounter
- T63.632AToxic effect of contact with sea anemone, intentional self-harm, initial encounter
- T63.692AToxic effect of contact with other venomous marine animals, intentional self-harm, initial encounter
- T63.712AToxic effect of contact with venomous marine plant, intentional self-harm, initial encounter
- T63.792AToxic effect of contact with other venomous plant, intentional self-harm, initial encounter
- T63.812AToxic effect of contact with venomous frog, intentional self-harm, initial encounter
- T63.822AToxic effect of contact with venomous toad, intentional self-harm, initial encounter
- T63.832AToxic effect of contact with other venomous amphibian, intentional self-harm, initial encounter
- T63.892AToxic effect of contact with other venomous animals, intentional self-harm, initial encounter
- T63.92XAToxic effect of contact with unspecified venomous animal, intentional self-harm, initial encounter
- T64.02XAToxic effect of aflatoxin, intentional self-harm, initial encounter
- T64.82XAToxic effect of other mycotoxin food contaminants, intentional self-harm, initial encounter
- T65.0X2AToxic effect of cyanides, intentional self-harm, initial encounter
- T65.1X2AToxic effect of strychnine and its salts, intentional self-harm, initial encounter
- T65.212AToxic effect of chewing tobacco, intentional self-harm, initial encounter
- T65.222AToxic effect of tobacco cigarettes, intentional self-harm, initial encounter
- T65.292AToxic effect of other tobacco and nicotine, intentional self-harm, initial encounter
- T65.3X2AToxic effect of nitroderivatives and aminoderivatives of benzene and its homologues, intentional self-harm, initial encounter
- T65.4X2AToxic effect of carbon disulfide, intentional self-harm, initial encounter
- T65.5X2AToxic effect of nitroglycerin and other nitric acids and esters, intentional self-harm, initial encounter
- T65.6X2AToxic effect of paints and dyes, not elsewhere classified, intentional self-harm, initial encounter
- T65.812AToxic effect of latex, intentional self-harm, initial encounter
- T65.822AToxic effect of harmful algae and algae toxins, intentional self-harm, initial encounter
- T65.832AToxic effect of fiberglass, intentional self-harm, initial encounter
- T65.842AToxic effect of xylazine, intentional self-harm, initial encounter
- T65.892AToxic effect of other specified substances, intentional self-harm, initial encounter
- T65.92XAToxic effect of unspecified substance, intentional self-harm, initial encounter
- T71.112AAsphyxiation due to smothering under pillow, intentional self-harm, initial encounter
- T71.122AAsphyxiation due to plastic bag, intentional self-harm, initial encounter
- T71.132AAsphyxiation due to being trapped in bed linens, intentional self-harm, initial encounter
- T71.152AAsphyxiation due to smothering in furniture, intentional self-harm, initial encounter
- T71.162AAsphyxiation due to hanging, intentional self-harm, initial encounter
- T71.192AAsphyxiation due to mechanical threat to breathing due to other causes, intentional self-harm, initial encounter
- T71.222AAsphyxiation due to being trapped in a car trunk, intentional self-harm, initial encounter
- T71.232AAsphyxiation due to being trapped in a (discarded) refrigerator, intentional self-harm, initial encounter
- X71.0XXAIntentional self-harm by drowning and submersion while in bathtub, initial encounter
- X71.1XXAIntentional self-harm by drowning and submersion while in swimming pool, initial encounter
- X71.2XXAIntentional self-harm by drowning and submersion after jump into swimming pool, initial encounter
- X71.3XXAIntentional self-harm by drowning and submersion in natural water, initial encounter
- X71.8XXAOther intentional self-harm by drowning and submersion, initial encounter
- X71.9XXAIntentional self-harm by drowning and submersion, unspecified, initial encounter
- X72.XXXAIntentional self-harm by handgun discharge, initial encounter
- X73.0XXAIntentional self-harm by shotgun discharge, initial encounter
- X73.1XXAIntentional self-harm by hunting rifle discharge, initial encounter
- X73.2XXAIntentional self-harm by machine gun discharge, initial encounter
- X73.8XXAIntentional self-harm by other larger firearm discharge, initial encounter
- X73.9XXAIntentional self-harm by unspecified larger firearm discharge, initial encounter
- X74.01XAIntentional self-harm by airgun, initial encounter
- X74.02XAIntentional self-harm by paintball gun, initial encounter
- X74.09XAIntentional self-harm by other gas, air or spring-operated gun, initial encounter
- X74.8XXAIntentional self-harm by other firearm discharge, initial encounter
- X74.9XXAIntentional self-harm by unspecified firearm discharge, initial encounter
- X75.XXXAIntentional self-harm by explosive material, initial encounter
- X76.XXXAIntentional self-harm by smoke, fire and flames, initial encounter
- X77.0XXAIntentional self-harm by steam or hot vapors, initial encounter
- X77.1XXAIntentional self-harm by hot tap water, initial encounter
- X77.2XXAIntentional self-harm by other hot fluids, initial encounter
- X77.3XXAIntentional self-harm by hot household appliances, initial encounter
- X77.8XXAIntentional self-harm by other hot objects, initial encounter
- X77.9XXAIntentional self-harm by unspecified hot objects, initial encounter
- X78.0XXAIntentional self-harm by sharp glass, initial encounter
- X78.1XXAIntentional self-harm by knife, initial encounter
- X78.2XXAIntentional self-harm by sword or dagger, initial encounter
- X78.8XXAIntentional self-harm by other sharp object, initial encounter
- X78.9XXAIntentional self-harm by unspecified sharp object, initial encounter
- X79.XXXAIntentional self-harm by blunt object, initial encounter
- X80.XXXAIntentional self-harm by jumping from a high place, initial encounter
- X81.0XXAIntentional self-harm by jumping or lying in front of motor vehicle, initial encounter
- X81.1XXAIntentional self-harm by jumping or lying in front of (subway) train, initial encounter
- X81.8XXAIntentional self-harm by jumping or lying in front of other moving object, initial encounter
- X82.0XXAIntentional collision of motor vehicle with other motor vehicle, initial encounter
- X82.1XXAIntentional collision of motor vehicle with train, initial encounter
- X82.2XXAIntentional collision of motor vehicle with tree, initial encounter
- X82.8XXAOther intentional self-harm by crashing of motor vehicle, initial encounter
- X83.0XXAIntentional self-harm by crashing of aircraft, initial encounter
- X83.1XXAIntentional self-harm by electrocution, initial encounter
- X83.2XXAIntentional self-harm by exposure to extremes of cold, initial encounter
- X83.8XXAIntentional self-harm by other specified means, initial encounter
Frequently asked questions
What is CMS-HCC V28 category 155?
HCC 155 is "Major Depression, Moderate or Severe, without Psychosis", a payment Hierarchical Condition Category in the CMS-HCC V28 risk adjustment model (100% phase-in for payment year 2026). 371 payable ICD-10-CM codes map to it.
What is the RAF weight for HCC 155?
The community non-dual aged relative factor for CMS-HCC V28 category 155 is 0.299. 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 155?
371 payable ICD-10-CM diagnosis codes map to CMS-HCC V28 category 155 (Major Depression, Moderate or Severe, without Psychosis) for payment year 2026.
Which categories trump HCC 155 in the V28 hierarchy?
HCC 155 is superseded by HCC 151 (Schizophrenia), HCC 152 (Psychosis, Except Schizophrenia), HCC 153 (Personality Disorders; Anorexia/Bulimia Nervosa), HCC 154 (Bipolar Disorders without Psychosis). When a more severe category in the same disease group is documented, it is counted instead of HCC 155.
Source: CMS published ICD-10-CM mapping file plus CMS-HCC v28 PY2026 model software.