V28 HCC 190Community non-dual aged RAF 1.175

Amyotrophic Lateral Sclerosis and Other Motor Neuron Disease, Spinal Muscular Atrophy

Under the CMS-HCC V28 risk adjustment model (PY2026 Medicare Advantage), HCC 190 carries a community non-dual aged RAF of 1.175, and 11 payable ICD-10-CM diagnosis codes map to it.

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: 1.175Community PBA: 0.64Community FBA: 1.427Community ND: 1.792Community PBD: 1.243Community FBD: 3.642Institutional: 0.628

ICD-10-CM codes that map to HCC 190 (11)

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 190?

HCC 190 is "Amyotrophic Lateral Sclerosis and Other Motor Neuron Disease, Spinal Muscular Atrophy", a payment Hierarchical Condition Category in the CMS-HCC V28 risk adjustment model (100% phase-in for payment year 2026). 11 payable ICD-10-CM codes map to it.

What is the RAF weight for HCC 190?

The community non-dual aged relative factor for CMS-HCC V28 category 190 is 1.175. 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 190?

11 payable ICD-10-CM diagnosis codes map to CMS-HCC V28 category 190 (Amyotrophic Lateral Sclerosis and Other Motor Neuron Disease, Spinal Muscular Atrophy) for payment year 2026.

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