V28 HCC 300Community non-dual aged RAF 0.596

Exudative Macular Degeneration

Under the CMS-HCC V28 risk adjustment model (PY2026 Medicare Advantage), HCC 300 carries a community non-dual aged RAF of 0.596, and 16 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: 0.596Community PBA: 0.459Community FBA: 0.37Community ND: 0.366Community PBD: 0.38Community FBD: 0.255Institutional: 0.196

ICD-10-CM codes that map to HCC 300 (16)

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 300?

HCC 300 is "Exudative Macular Degeneration", a payment Hierarchical Condition Category in the CMS-HCC V28 risk adjustment model (100% phase-in for payment year 2026). 16 payable ICD-10-CM codes map to it.

What is the RAF weight for HCC 300?

The community non-dual aged relative factor for CMS-HCC V28 category 300 is 0.596. 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 300?

16 payable ICD-10-CM diagnosis codes map to CMS-HCC V28 category 300 (Exudative Macular Degeneration) for payment year 2026.

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