V28 HCC 282Community non-dual aged RAF 0.44

Aspiration and Specified Bacterial Pneumonias

Under the CMS-HCC V28 risk adjustment model (PY2026 Medicare Advantage), HCC 282 carries a community non-dual aged RAF of 0.44, and 14 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: 0.44Community PBA: 0.409Community FBA: 0.538Community ND: 0.362Community PBD: 0.173Community FBD: 0.269Institutional: 0.353

V28 hierarchy

Supersedes: HCC 283 (this category is counted instead of these when they co-occur).

ICD-10-CM codes that map to HCC 282 (14)

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 282?

HCC 282 is "Aspiration and Specified Bacterial Pneumonias", a payment Hierarchical Condition Category in the CMS-HCC V28 risk adjustment model (100% phase-in for payment year 2026). 14 payable ICD-10-CM codes map to it.

What is the RAF weight for HCC 282?

The community non-dual aged relative factor for CMS-HCC V28 category 282 is 0.44. 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 282?

14 payable ICD-10-CM diagnosis codes map to CMS-HCC V28 category 282 (Aspiration and Specified Bacterial Pneumonias) for payment year 2026.

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