V28 HCC 405Community non-dual aged RAF 0.598
Traumatic Amputations and Complications
Under the CMS-HCC V28 risk adjustment model (PY2026 Medicare Advantage), HCC 405 carries a community non-dual aged RAF of 0.598, and 108 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: 0.598Community PBA: 0.639Community FBA: 0.799Community ND: 0.577Community PBD: 0.698Community FBD: 0.844Institutional: 0.284
V28 hierarchy
Supersedes: HCC 409 (this category is counted instead of these when they co-occur).
ICD-10-CM codes that map to HCC 405 (108)
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.
- S48.011AComplete traumatic amputation at right shoulder joint, initial encounter
- S48.012AComplete traumatic amputation at left shoulder joint, initial encounter
- S48.019AComplete traumatic amputation at unspecified shoulder joint, initial encounter
- S48.021APartial traumatic amputation at right shoulder joint, initial encounter
- S48.022APartial traumatic amputation at left shoulder joint, initial encounter
- S48.029APartial traumatic amputation at unspecified shoulder joint, initial encounter
- S48.111AComplete traumatic amputation at level between right shoulder and elbow, initial encounter
- S48.112AComplete traumatic amputation at level between left shoulder and elbow, initial encounter
- S48.119AComplete traumatic amputation at level between unspecified shoulder and elbow, initial encounter
- S48.121APartial traumatic amputation at level between right shoulder and elbow, initial encounter
- S48.122APartial traumatic amputation at level between left shoulder and elbow, initial encounter
- S48.129APartial traumatic amputation at level between unspecified shoulder and elbow, initial encounter
- S48.911AComplete traumatic amputation of right shoulder and upper arm, level unspecified, initial encounter
- S48.912AComplete traumatic amputation of left shoulder and upper arm, level unspecified, initial encounter
- S48.919AComplete traumatic amputation of unspecified shoulder and upper arm, level unspecified, initial encounter
- S48.921APartial traumatic amputation of right shoulder and upper arm, level unspecified, initial encounter
- S48.922APartial traumatic amputation of left shoulder and upper arm, level unspecified, initial encounter
- S48.929APartial traumatic amputation of unspecified shoulder and upper arm, level unspecified, initial encounter
- S58.011AComplete traumatic amputation at elbow level, right arm, initial encounter
- S58.012AComplete traumatic amputation at elbow level, left arm, initial encounter
- S58.019AComplete traumatic amputation at elbow level, unspecified arm, initial encounter
- S58.021APartial traumatic amputation at elbow level, right arm, initial encounter
- S58.022APartial traumatic amputation at elbow level, left arm, initial encounter
- S58.029APartial traumatic amputation at elbow level, unspecified arm, initial encounter
- S58.111AComplete traumatic amputation at level between elbow and wrist, right arm, initial encounter
- S58.112AComplete traumatic amputation at level between elbow and wrist, left arm, initial encounter
- S58.119AComplete traumatic amputation at level between elbow and wrist, unspecified arm, initial encounter
- S58.121APartial traumatic amputation at level between elbow and wrist, right arm, initial encounter
- S58.122APartial traumatic amputation at level between elbow and wrist, left arm, initial encounter
- S58.129APartial traumatic amputation at level between elbow and wrist, unspecified arm, initial encounter
- S58.911AComplete traumatic amputation of right forearm, level unspecified, initial encounter
- S58.912AComplete traumatic amputation of left forearm, level unspecified, initial encounter
- S58.919AComplete traumatic amputation of unspecified forearm, level unspecified, initial encounter
- S58.921APartial traumatic amputation of right forearm, level unspecified, initial encounter
- S58.922APartial traumatic amputation of left forearm, level unspecified, initial encounter
- S58.929APartial traumatic amputation of unspecified forearm, level unspecified, initial encounter
- S68.411AComplete traumatic amputation of right hand at wrist level, initial encounter
- S68.412AComplete traumatic amputation of left hand at wrist level, initial encounter
- S68.419AComplete traumatic amputation of unspecified hand at wrist level, initial encounter
- S68.421APartial traumatic amputation of right hand at wrist level, initial encounter
- S68.422APartial traumatic amputation of left hand at wrist level, initial encounter
- S68.429APartial traumatic amputation of unspecified hand at wrist level, initial encounter
- S68.711AComplete traumatic transmetacarpal amputation of right hand, initial encounter
- S68.712AComplete traumatic transmetacarpal amputation of left hand, initial encounter
- S68.719AComplete traumatic transmetacarpal amputation of unspecified hand, initial encounter
- S68.721APartial traumatic transmetacarpal amputation of right hand, initial encounter
- S68.722APartial traumatic transmetacarpal amputation of left hand, initial encounter
- S68.729APartial traumatic transmetacarpal amputation of unspecified hand, initial encounter
- S78.011AComplete traumatic amputation at right hip joint, initial encounter
- S78.012AComplete traumatic amputation at left hip joint, initial encounter
- S78.019AComplete traumatic amputation at unspecified hip joint, initial encounter
- S78.021APartial traumatic amputation at right hip joint, initial encounter
- S78.022APartial traumatic amputation at left hip joint, initial encounter
- S78.029APartial traumatic amputation at unspecified hip joint, initial encounter
- S78.111AComplete traumatic amputation at level between right hip and knee, initial encounter
- S78.112AComplete traumatic amputation at level between left hip and knee, initial encounter
- S78.119AComplete traumatic amputation at level between unspecified hip and knee, initial encounter
- S78.121APartial traumatic amputation at level between right hip and knee, initial encounter
- S78.122APartial traumatic amputation at level between left hip and knee, initial encounter
- S78.129APartial traumatic amputation at level between unspecified hip and knee, initial encounter
- S78.911AComplete traumatic amputation of right hip and thigh, level unspecified, initial encounter
- S78.912AComplete traumatic amputation of left hip and thigh, level unspecified, initial encounter
- S78.919AComplete traumatic amputation of unspecified hip and thigh, level unspecified, initial encounter
- S78.921APartial traumatic amputation of right hip and thigh, level unspecified, initial encounter
- S78.922APartial traumatic amputation of left hip and thigh, level unspecified, initial encounter
- S78.929APartial traumatic amputation of unspecified hip and thigh, level unspecified, initial encounter
- S88.011AComplete traumatic amputation at knee level, right lower leg, initial encounter
- S88.012AComplete traumatic amputation at knee level, left lower leg, initial encounter
- S88.019AComplete traumatic amputation at knee level, unspecified lower leg, initial encounter
- S88.021APartial traumatic amputation at knee level, right lower leg, initial encounter
- S88.022APartial traumatic amputation at knee level, left lower leg, initial encounter
- S88.029APartial traumatic amputation at knee level, unspecified lower leg, initial encounter
- S88.111AComplete traumatic amputation at level between knee and ankle, right lower leg, initial encounter
- S88.112AComplete traumatic amputation at level between knee and ankle, left lower leg, initial encounter
- S88.119AComplete traumatic amputation at level between knee and ankle, unspecified lower leg, initial encounter
- S88.121APartial traumatic amputation at level between knee and ankle, right lower leg, initial encounter
- S88.122APartial traumatic amputation at level between knee and ankle, left lower leg, initial encounter
- S88.129APartial traumatic amputation at level between knee and ankle, unspecified lower leg, initial encounter
- S88.911AComplete traumatic amputation of right lower leg, level unspecified, initial encounter
- S88.912AComplete traumatic amputation of left lower leg, level unspecified, initial encounter
- S88.919AComplete traumatic amputation of unspecified lower leg, level unspecified, initial encounter
- S88.921APartial traumatic amputation of right lower leg, level unspecified, initial encounter
- S88.922APartial traumatic amputation of left lower leg, level unspecified, initial encounter
- S88.929APartial traumatic amputation of unspecified lower leg, level unspecified, initial encounter
- S98.011AComplete traumatic amputation of right foot at ankle level, initial encounter
- S98.012AComplete traumatic amputation of left foot at ankle level, initial encounter
- S98.019AComplete traumatic amputation of unspecified foot at ankle level, initial encounter
- S98.021APartial traumatic amputation of right foot at ankle level, initial encounter
- S98.022APartial traumatic amputation of left foot at ankle level, initial encounter
- S98.029APartial traumatic amputation of unspecified foot at ankle level, initial encounter
- S98.311AComplete traumatic amputation of right midfoot, initial encounter
- S98.312AComplete traumatic amputation of left midfoot, initial encounter
- S98.319AComplete traumatic amputation of unspecified midfoot, initial encounter
- S98.321APartial traumatic amputation of right midfoot, initial encounter
- S98.322APartial traumatic amputation of left midfoot, initial encounter
- S98.329APartial traumatic amputation of unspecified midfoot, initial encounter
- S98.911AComplete traumatic amputation of right foot, level unspecified, initial encounter
- S98.912AComplete traumatic amputation of left foot, level unspecified, initial encounter
- S98.919AComplete traumatic amputation of unspecified foot, level unspecified, initial encounter
- S98.921APartial traumatic amputation of right foot, level unspecified, initial encounter
- S98.922APartial traumatic amputation of left foot, level unspecified, initial encounter
- S98.929APartial traumatic amputation of unspecified foot, level unspecified, initial encounter
- T87.0X1Complications of reattached (part of) right upper extremity
- T87.0X2Complications of reattached (part of) left upper extremity
- T87.0X9Complications of reattached (part of) unspecified upper extremity
- T87.1X1Complications of reattached (part of) right lower extremity
- T87.1X2Complications of reattached (part of) left lower extremity
- T87.1X9Complications of reattached (part of) unspecified lower extremity
Frequently asked questions
What is CMS-HCC V28 category 405?
HCC 405 is "Traumatic Amputations and Complications", a payment Hierarchical Condition Category in the CMS-HCC V28 risk adjustment model (100% phase-in for payment year 2026). 108 payable ICD-10-CM codes map to it.
What is the RAF weight for HCC 405?
The community non-dual aged relative factor for CMS-HCC V28 category 405 is 0.598. 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 405?
108 payable ICD-10-CM diagnosis codes map to CMS-HCC V28 category 405 (Traumatic Amputations and Complications) for payment year 2026.
Source: CMS published ICD-10-CM mapping file plus CMS-HCC v28 PY2026 model software.