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V28 HCC 92Community non-dual aged RAF 0.479

Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis

Under the CMS-HCC V28 risk adjustment model (PY2026 Medicare Advantage), HCC 92 carries a community non-dual aged RAF of 0.479, and 609 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: 0.479Community PBA: 0.471Community FBA: 0.611Community ND: 0.529Community PBD: 0.539Community FBD: 0.632Institutional: 0.556

ICD-10-CM codes that map to HCC 92 (609)

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 92?

HCC 92 is "Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis", a payment Hierarchical Condition Category in the CMS-HCC V28 risk adjustment model (100% phase-in for payment year 2026). 609 payable ICD-10-CM codes map to it.

What is the RAF weight for HCC 92?

The community non-dual aged relative factor for CMS-HCC V28 category 92 is 0.479. 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 92?

609 payable ICD-10-CM diagnosis codes map to CMS-HCC V28 category 92 (Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis) for payment year 2026.

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