Pressure Ulcer of Skin with Partial Thickness Skin Loss
Under the CMS-HCC V28 risk adjustment model (PY2026 Medicare Advantage), HCC 382 carries a community non-dual aged RAF of 0.838, and 25 payable ICD-10-CM diagnosis codes map to it. In the V28 hierarchy it is superseded by HCC 379, HCC 380, HCC 381 when a more severe category in the same disease group is also present.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.
V28 hierarchy
Trumped by: HCC 379, HCC 380, HCC 381 (a more severe category in the same disease group supersedes this one).
Supersedes: HCC 383 (this category is counted instead of these when they co-occur).
ICD-10-CM codes that map to HCC 382 (25)
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.
- L89.002Pressure ulcer of unspecified elbow, stage 2
- L89.012Pressure ulcer of right elbow, stage 2
- L89.022Pressure ulcer of left elbow, stage 2
- L89.102Pressure ulcer of unspecified part of back, stage 2
- L89.112Pressure ulcer of right upper back, stage 2
- L89.122Pressure ulcer of left upper back, stage 2
- L89.132Pressure ulcer of right lower back, stage 2
- L89.142Pressure ulcer of left lower back, stage 2
- L89.152Pressure ulcer of sacral region, stage 2
- L89.202Pressure ulcer of unspecified hip, stage 2
- L89.212Pressure ulcer of right hip, stage 2
- L89.222Pressure ulcer of left hip, stage 2
- L89.302Pressure ulcer of unspecified buttock, stage 2
- L89.312Pressure ulcer of right buttock, stage 2
- L89.322Pressure ulcer of left buttock, stage 2
- L89.42Pressure ulcer of contiguous site of back, buttock and hip, stage 2
- L89.502Pressure ulcer of unspecified ankle, stage 2
- L89.512Pressure ulcer of right ankle, stage 2
- L89.522Pressure ulcer of left ankle, stage 2
- L89.602Pressure ulcer of unspecified heel, stage 2
- L89.612Pressure ulcer of right heel, stage 2
- L89.622Pressure ulcer of left heel, stage 2
- L89.812Pressure ulcer of head, stage 2
- L89.892Pressure ulcer of other site, stage 2
- L89.92Pressure ulcer of unspecified site, stage 2
Frequently asked questions
What is CMS-HCC V28 category 382?
HCC 382 is "Pressure Ulcer of Skin with Partial Thickness Skin Loss", a payment Hierarchical Condition Category in the CMS-HCC V28 risk adjustment model (100% phase-in for payment year 2026). 25 payable ICD-10-CM codes map to it.
What is the RAF weight for HCC 382?
The community non-dual aged relative factor for CMS-HCC V28 category 382 is 0.838. 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 382?
25 payable ICD-10-CM diagnosis codes map to CMS-HCC V28 category 382 (Pressure Ulcer of Skin with Partial Thickness Skin Loss) for payment year 2026.
Which categories trump HCC 382 in the V28 hierarchy?
HCC 382 is superseded by HCC 379 (Pressure Ulcer of Skin with Necrosis Through to Muscle, Tendon, or Bone), HCC 380 (Chronic Ulcer of Skin, Except Pressure, Through to Bone or Muscle), HCC 381 (Pressure Ulcer of Skin with Full Thickness Skin Loss). When a more severe category in the same disease group is documented, it is counted instead of HCC 382.
Source: CMS published ICD-10-CM mapping file plus CMS-HCC v28 PY2026 model software.