V28 HCC 182Community non-dual aged RAF 0.478

Spinal Cord Disorders/Injuries

Under the CMS-HCC V28 risk adjustment model (PY2026 Medicare Advantage), HCC 182 carries a community non-dual aged RAF of 0.478, and 251 payable ICD-10-CM diagnosis codes map to it. In the V28 hierarchy it is superseded by HCC 180, HCC 181, HCC 191, HCC 192 when a more severe category in the same disease group is also present.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: 0.478Community PBA: 0.401Community FBA: 0.402Community ND: 0.368Community PBD: 0.316Community FBD: 0.308Institutional: 0.27

V28 hierarchy

Trumped by: HCC 180, HCC 181, HCC 191, HCC 192 (a more severe category in the same disease group supersedes this one).

ICD-10-CM codes that map to HCC 182 (251)

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 182?

HCC 182 is "Spinal Cord Disorders/Injuries", a payment Hierarchical Condition Category in the CMS-HCC V28 risk adjustment model (100% phase-in for payment year 2026). 251 payable ICD-10-CM codes map to it.

What is the RAF weight for HCC 182?

The community non-dual aged relative factor for CMS-HCC V28 category 182 is 0.478. 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 182?

251 payable ICD-10-CM diagnosis codes map to CMS-HCC V28 category 182 (Spinal Cord Disorders/Injuries) for payment year 2026.

Which categories trump HCC 182 in the V28 hierarchy?

HCC 182 is superseded by HCC 180 (Quadriplegia), HCC 181 (Paraplegia), HCC 191 (Quadriplegic Cerebral Palsy), HCC 192 (Cerebral Palsy, Except Quadriplegic). When a more severe category in the same disease group is documented, it is counted instead of HCC 182.

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