Chronic Pancreatitis
Under the CMS-HCC V28 risk adjustment model (PY2026 Medicare Advantage), HCC 79 carries a community non-dual aged RAF of 0.357, and 2 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.
ICD-10-CM codes that map to HCC 79 (2)
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 79?
HCC 79 is "Chronic Pancreatitis", a payment Hierarchical Condition Category in the CMS-HCC V28 risk adjustment model (100% phase-in for payment year 2026). 2 payable ICD-10-CM codes map to it.
What is the RAF weight for HCC 79?
The community non-dual aged relative factor for CMS-HCC V28 category 79 is 0.357. 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 79?
2 payable ICD-10-CM diagnosis codes map to CMS-HCC V28 category 79 (Chronic Pancreatitis) for payment year 2026.
Source: CMS published ICD-10-CM mapping file plus CMS-HCC v28 PY2026 model software.