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V28 HCC 277Community non-dual aged RAF 0.998

Cystic Fibrosis

Under the CMS-HCC V28 risk adjustment model (PY2026 Medicare Advantage), HCC 277 carries a community non-dual aged RAF of 0.998, and 5 payable ICD-10-CM diagnosis codes map to it. In the V28 hierarchy it is superseded by HCC 276 when a more severe category in the same disease group is also present.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: 0.998Community PBA: 0.65Community FBA: 1.34Community ND: 2.818Community PBD: 3.829Community FBD: 3.76Institutional: 0.873

V28 hierarchy

Trumped by: HCC 276 (a more severe category in the same disease group supersedes this one).

Supersedes: HCC 278, HCC 279, HCC 280 (this category is counted instead of these when they co-occur).

ICD-10-CM codes that map to HCC 277 (5)

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 277?

HCC 277 is "Cystic Fibrosis", a payment Hierarchical Condition Category in the CMS-HCC V28 risk adjustment model (100% phase-in for payment year 2026). 5 payable ICD-10-CM codes map to it.

What is the RAF weight for HCC 277?

The community non-dual aged relative factor for CMS-HCC V28 category 277 is 0.998. 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 277?

5 payable ICD-10-CM diagnosis codes map to CMS-HCC V28 category 277 (Cystic Fibrosis) for payment year 2026.

Which categories trump HCC 277 in the V28 hierarchy?

HCC 277 is superseded by HCC 276 (Lung Transplant Status/Complications). When a more severe category in the same disease group is documented, it is counted instead of HCC 277.

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