V28 HCC 385
Severe Skin Burn or Condition
Under the CMS-HCC V28 risk adjustment model (PY2026 Medicare Advantage), HCC 385 has a source-labeled community non-dual aged reference coefficient of 1.291, and 90 ICD-10-CM diagnosis codes appear in its official mapping.
By the HCC Buddy Coding Team · Reviewed: May 30, 2026
V28 HCC 385Community non-dual aged reference coefficient 1.291
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: 1.291Community PBA: 0Community FBA: 2.362Community ND: 0.234Community PBD: 0.204Community FBD: 0.857Institutional: 0
These are source-labeled code-level HCC coefficient references, not a full member score. Use the RAF Calculator with complete member context for CMS-HCC V28 PY2026. No score is shown unless every required source and calculation check passes.
ICD-10-CM codes that map to HCC 385 (90)
ICD-10-CM codes in the official mapping for this category under CMS-HCC V28 PY2026. Open any code for its full description and coding guidance.
- T31.11Burns involving 10-19% of body surface with 10-19% third degree burns
- T31.21Burns involving 20-29% of body surface with 10-19% third degree burns
- T31.22Burns involving 20-29% of body surface with 20-29% third degree burns
- T31.31Burns involving 30-39% of body surface with 10-19% third degree burns
- T31.32Burns involving 30-39% of body surface with 20-29% third degree burns
- T31.33Burns involving 30-39% of body surface with 30-39% third degree burns
- T31.41Burns involving 40-49% of body surface with 10-19% third degree burns
- T31.42Burns involving 40-49% of body surface with 20-29% third degree burns
- T31.43Burns involving 40-49% of body surface with 30-39% third degree burns
- T31.44Burns involving 40-49% of body surface with 40-49% third degree burns
- T31.51Burns involving 50-59% of body surface with 10-19% third degree burns
- T31.52Burns involving 50-59% of body surface with 20-29% third degree burns
- T31.53Burns involving 50-59% of body surface with 30-39% third degree burns
- T31.54Burns involving 50-59% of body surface with 40-49% third degree burns
- T31.55Burns involving 50-59% of body surface with 50-59% third degree burns
- T31.61Burns involving 60-69% of body surface with 10-19% third degree burns
- T31.62Burns involving 60-69% of body surface with 20-29% third degree burns
- T31.63Burns involving 60-69% of body surface with 30-39% third degree burns
- T31.64Burns involving 60-69% of body surface with 40-49% third degree burns
- T31.65Burns involving 60-69% of body surface with 50-59% third degree burns
- T31.66Burns involving 60-69% of body surface with 60-69% third degree burns
- T31.71Burns involving 70-79% of body surface with 10-19% third degree burns
- T31.72Burns involving 70-79% of body surface with 20-29% third degree burns
- T31.73Burns involving 70-79% of body surface with 30-39% third degree burns
- T31.74Burns involving 70-79% of body surface with 40-49% third degree burns
- T31.75Burns involving 70-79% of body surface with 50-59% third degree burns
- T31.76Burns involving 70-79% of body surface with 60-69% third degree burns
- T31.77Burns involving 70-79% of body surface with 70-79% third degree burns
- T31.81Burns involving 80-89% of body surface with 10-19% third degree burns
- T31.82Burns involving 80-89% of body surface with 20-29% third degree burns
- T31.83Burns involving 80-89% of body surface with 30-39% third degree burns
- T31.84Burns involving 80-89% of body surface with 40-49% third degree burns
- T31.85Burns involving 80-89% of body surface with 50-59% third degree burns
- T31.86Burns involving 80-89% of body surface with 60-69% third degree burns
- T31.87Burns involving 80-89% of body surface with 70-79% third degree burns
- T31.88Burns involving 80-89% of body surface with 80-89% third degree burns
- T31.91Burns involving 90% or more of body surface with 10-19% third degree burns
- T31.92Burns involving 90% or more of body surface with 20-29% third degree burns
- T31.93Burns involving 90% or more of body surface with 30-39% third degree burns
- T31.94Burns involving 90% or more of body surface with 40-49% third degree burns
- T31.95Burns involving 90% or more of body surface with 50-59% third degree burns
- T31.96Burns involving 90% or more of body surface with 60-69% third degree burns
- T31.97Burns involving 90% or more of body surface with 70-79% third degree burns
- T31.98Burns involving 90% or more of body surface with 80-89% third degree burns
- T31.99Burns involving 90% or more of body surface with 90% or more third degree burns
- T32.11Corrosions involving 10-19% of body surface with 10-19% third degree corrosion
- T32.21Corrosions involving 20-29% of body surface with 10-19% third degree corrosion
- T32.22Corrosions involving 20-29% of body surface with 20-29% third degree corrosion
- T32.31Corrosions involving 30-39% of body surface with 10-19% third degree corrosion
- T32.32Corrosions involving 30-39% of body surface with 20-29% third degree corrosion
- T32.33Corrosions involving 30-39% of body surface with 30-39% third degree corrosion
- T32.41Corrosions involving 40-49% of body surface with 10-19% third degree corrosion
- T32.42Corrosions involving 40-49% of body surface with 20-29% third degree corrosion
- T32.43Corrosions involving 40-49% of body surface with 30-39% third degree corrosion
- T32.44Corrosions involving 40-49% of body surface with 40-49% third degree corrosion
- T32.51Corrosions involving 50-59% of body surface with 10-19% third degree corrosion
- T32.52Corrosions involving 50-59% of body surface with 20-29% third degree corrosion
- T32.53Corrosions involving 50-59% of body surface with 30-39% third degree corrosion
- T32.54Corrosions involving 50-59% of body surface with 40-49% third degree corrosion
- T32.55Corrosions involving 50-59% of body surface with 50-59% third degree corrosion
- T32.61Corrosions involving 60-69% of body surface with 10-19% third degree corrosion
- T32.62Corrosions involving 60-69% of body surface with 20-29% third degree corrosion
- T32.63Corrosions involving 60-69% of body surface with 30-39% third degree corrosion
- T32.64Corrosions involving 60-69% of body surface with 40-49% third degree corrosion
- T32.65Corrosions involving 60-69% of body surface with 50-59% third degree corrosion
- T32.66Corrosions involving 60-69% of body surface with 60-69% third degree corrosion
- T32.71Corrosions involving 70-79% of body surface with 10-19% third degree corrosion
- T32.72Corrosions involving 70-79% of body surface with 20-29% third degree corrosion
- T32.73Corrosions involving 70-79% of body surface with 30-39% third degree corrosion
- T32.74Corrosions involving 70-79% of body surface with 40-49% third degree corrosion
- T32.75Corrosions involving 70-79% of body surface with 50-59% third degree corrosion
- T32.76Corrosions involving 70-79% of body surface with 60-69% third degree corrosion
- T32.77Corrosions involving 70-79% of body surface with 70-79% third degree corrosion
- T32.81Corrosions involving 80-89% of body surface with 10-19% third degree corrosion
- T32.82Corrosions involving 80-89% of body surface with 20-29% third degree corrosion
- T32.83Corrosions involving 80-89% of body surface with 30-39% third degree corrosion
- T32.84Corrosions involving 80-89% of body surface with 40-49% third degree corrosion
- T32.85Corrosions involving 80-89% of body surface with 50-59% third degree corrosion
- T32.86Corrosions involving 80-89% of body surface with 60-69% third degree corrosion
- T32.87Corrosions involving 80-89% of body surface with 70-79% third degree corrosion
- T32.88Corrosions involving 80-89% of body surface with 80-89% third degree corrosion
- T32.91Corrosions involving 90% or more of body surface with 10-19% third degree corrosion
- T32.92Corrosions involving 90% or more of body surface with 20-29% third degree corrosion
- T32.93Corrosions involving 90% or more of body surface with 30-39% third degree corrosion
- T32.94Corrosions involving 90% or more of body surface with 40-49% third degree corrosion
- T32.95Corrosions involving 90% or more of body surface with 50-59% third degree corrosion
- T32.96Corrosions involving 90% or more of body surface with 60-69% third degree corrosion
- T32.97Corrosions involving 90% or more of body surface with 70-79% third degree corrosion
- T32.98Corrosions involving 90% or more of body surface with 80-89% third degree corrosion
- T32.99Corrosions involving 90% or more of body surface with 90% or more third degree corrosion
Coder workflow notes
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Frequently asked questions
What is CMS-HCC V28 category 385?
HCC 385 is "Severe Skin Burn or Condition", a Hierarchical Condition Category in the CMS-HCC V28 risk adjustment model (100% phase-in for payment year 2026). 90 ICD-10-CM codes appear in its official mapping.
What reference coefficient is published for HCC 385?
The source-labeled community non-dual aged reference coefficient for CMS-HCC V28 category 385 is 1.291. The exact coefficient varies by enrollment segment (community Medicaid and originally-disabled status, and institutional); the full segment table is published in the CMS V28 model files.
How many ICD-10-CM codes map to HCC 385?
90 ICD-10-CM diagnosis codes appear in the official mapping for CMS-HCC V28 category 385 (Severe Skin Burn or Condition) for payment year 2026.
Related references
Sources
CMS ICD-10-CM order-file billability plus the published mapping and CMS-HCC V28 PY2026 model software. CMS-HCC V28 model published at CMS.gov Risk Adjustors; ICD-10-CM member codes from the CMS ICD-10-CM code set.
Verified current to CMS-HCC V28, payment year 2026 — last reviewed May 30, 2026.