V28 HCC 93Community non-dual aged RAF 0.617

Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders

Under the CMS-HCC V28 risk adjustment model (PY2026 Medicare Advantage), HCC 93 carries a community non-dual aged RAF of 0.617, and 508 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: 0.617Community PBA: 0.405Community FBA: 0.439Community ND: 0.47Community PBD: 0.288Community FBD: 0.384Institutional: 0.297

V28 hierarchy

Supersedes: HCC 94 (this category is counted instead of these when they co-occur).

ICD-10-CM codes that map to HCC 93 (508)

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 93?

HCC 93 is "Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders", a payment Hierarchical Condition Category in the CMS-HCC V28 risk adjustment model (100% phase-in for payment year 2026). 508 payable ICD-10-CM codes map to it.

What is the RAF weight for HCC 93?

The community non-dual aged relative factor for CMS-HCC V28 category 93 is 0.617. 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 93?

508 payable ICD-10-CM diagnosis codes map to CMS-HCC V28 category 93 (Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders) for payment year 2026.

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