Skip to content

V28 HCC 51

Addison's and Cushing's Diseases, Acromegaly, and Other Specified Endocrine Disorders

Under the CMS-HCC V28 risk adjustment model (PY2026 Medicare Advantage), HCC 51 has a source-labeled community non-dual aged reference coefficient of 0.51, and 11 ICD-10-CM diagnosis codes appear in its official mapping.

By the HCC Buddy Coding Team · Reviewed: May 30, 2026
V28 HCC 51Community non-dual aged reference coefficient 0.51

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: 0.51Community PBA: 0.313Community FBA: 0.634Community ND: 0.606Community PBD: 0.393Community FBD: 0.654Institutional: 0.62

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 51 (11)

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.

Coder workflow notes

Get the V28 mapping + MEAT cheat sheet

A printable reference for HCC 51: representative mapping rows and MEAT reminders. Free, no card.

Free PDF. No card. Unsubscribe anytime.

Frequently asked questions

What is CMS-HCC V28 category 51?

HCC 51 is "Addison's and Cushing's Diseases, Acromegaly, and Other Specified Endocrine Disorders", a Hierarchical Condition Category in the CMS-HCC V28 risk adjustment model (100% phase-in for payment year 2026). 11 ICD-10-CM codes appear in its official mapping.

What reference coefficient is published for HCC 51?

The source-labeled community non-dual aged reference coefficient for CMS-HCC V28 category 51 is 0.51. 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 51?

11 ICD-10-CM diagnosis codes appear in the official mapping for CMS-HCC V28 category 51 (Addison's and Cushing's Diseases, Acromegaly, and Other Specified Endocrine Disorders) 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.