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V28 HCC 77Community non-dual aged RAF 1.172

Intestine Transplant Status/Complications

Under the CMS-HCC V28 risk adjustment model (PY2026 Medicare Advantage), HCC 77 carries a community non-dual aged RAF of 1.172, and 6 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: 1.172Community PBA: 5.039Community FBA: 5.039Community ND: 6.301Community PBD: 5.039Community FBD: 6.161Institutional: 5.089

V28 hierarchy

Supersedes: HCC 78, HCC 80, HCC 81 (this category is counted instead of these when they co-occur).

ICD-10-CM codes that map to HCC 77 (6)

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 77?

HCC 77 is "Intestine Transplant Status/Complications", a payment Hierarchical Condition Category in the CMS-HCC V28 risk adjustment model (100% phase-in for payment year 2026). 6 payable ICD-10-CM codes map to it.

What is the RAF weight for HCC 77?

The community non-dual aged relative factor for CMS-HCC V28 category 77 is 1.172. 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 77?

6 payable ICD-10-CM diagnosis codes map to CMS-HCC V28 category 77 (Intestine Transplant Status/Complications) for payment year 2026.

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