V28 HCC 22Community non-dual aged RAF 0.363

Bladder, Colorectal, and Other Cancers

Under the CMS-HCC V28 risk adjustment model (PY2026 Medicare Advantage), HCC 22 carries a community non-dual aged RAF of 0.363, and 126 payable ICD-10-CM diagnosis codes map to it. In the V28 hierarchy it is superseded by HCC 17, HCC 18, HCC 19, HCC 20, HCC 21 when a more severe category in the same disease group is also present.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: 0.363Community PBA: 0.41Community FBA: 0.382Community ND: 0.366Community PBD: 0.351Community FBD: 0.409Institutional: 0.314

V28 hierarchy

Trumped by: HCC 17, HCC 18, HCC 19, HCC 20, HCC 21 (a more severe category in the same disease group supersedes this one).

Supersedes: HCC 23 (this category is counted instead of these when they co-occur).

ICD-10-CM codes that map to HCC 22 (126)

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 22?

HCC 22 is "Bladder, Colorectal, and Other Cancers", a payment Hierarchical Condition Category in the CMS-HCC V28 risk adjustment model (100% phase-in for payment year 2026). 126 payable ICD-10-CM codes map to it.

What is the RAF weight for HCC 22?

The community non-dual aged relative factor for CMS-HCC V28 category 22 is 0.363. 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 22?

126 payable ICD-10-CM diagnosis codes map to CMS-HCC V28 category 22 (Bladder, Colorectal, and Other Cancers) for payment year 2026.

Which categories trump HCC 22 in the V28 hierarchy?

HCC 22 is superseded by HCC 17 (Cancer Metastatic to Lung, Liver, Brain, and Other Organs; Acute Myeloid Leukemia Except Promyelocytic), HCC 18 (Cancer Metastatic to Bone, Other and Unspecified Metastatic Cancer; Acute Leukemia Except Myeloid), HCC 19 (Myelodysplastic Syndromes, Multiple Myeloma, and Other Cancers), HCC 20 (Lung and Other Severe Cancers), HCC 21 (Lymphoma and Other Cancers). When a more severe category in the same disease group is documented, it is counted instead of HCC 22.

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