ICD-10-CM reference
ICD-10-CM code search with HCC risk adjustment mapping
Search the full 74,000-code FY2026 ICD-10-CM tabular list. Every billable code shows its CMS-HCC V28 and V24 mapping, CMS-HCC V28 PY2026 calculator, MEAT documentation requirements, and common coding pitfalls. Built for risk adjustment coders working in Medicare Advantage who need faster lookups without encoder bloat.
Most-coded HCC conditions
Start with the conditions that drive the largest share of risk adjustment factor scores in Medicare Advantage panels.
ICD-10-CM chapters
The FY2026 ICD-10-CM tabular list is organized into 22 chapters. Open any chapter to see how many of its codes risk-adjust under CMS-HCC V28, the HCC categories they map to, and the member codes.
- A00-B99Infectious & Parasitic Diseases
- C00-D49Neoplasms (Cancer)
- E00-E89Endocrine, Nutritional, Metabolic
- F01-F99Mental, Behavioral, Neurodevelopmental
- G00-G99Diseases of the Nervous System
- I00-I99Diseases of the Circulatory System
- J00-J99Diseases of the Respiratory System
- K00-K95Diseases of the Digestive System
- M00-M99Musculoskeletal & Connective Tissue
- N00-N99Diseases of the Genitourinary System
Code families with their CMS-HCC V28 status
The categories coders look up most, each with every child code in one table: FY2026 billability, the V28 category it maps to, and the codes that carry no HCC.
- I50Heart failure23 billable, 23 map to V28
- J44Other chronic obstructive pulmonary disease5 billable, 5 map to V28
- J43Emphysema5 billable, 5 map to V28
- E11Type 2 diabetes mellitus87 billable, 86 map to V28
- E10Type 1 diabetes mellitus87 billable, 84 map to V28
- I69Sequelae of cerebrovascular disease240 billable, 126 map to V28
- Z68Body mass index [BMI]32 billable, 6 map to V28
- F10Alcohol related disorders58 billable, 46 map to V28
- N18Chronic kidney disease (CKD)9 billable, 6 map to V28
- F02Dementia in other diseases classified elsewhere24 billable, 24 map to V28
- F03Unspecified dementia24 billable, 24 map to V28
- I48Atrial fibrillation and flutter9 billable, 9 map to V28
- G30Alzheimer's disease4 billable, 4 map to V28
- G31Other degenerative diseases of nervous system, not elsewhere classified14 billable, 7 map to V28
- K70Alcoholic liver disease9 billable, 6 map to V28
- E66Overweight and obesity10 billable, 3 map to V28
- I70Atherosclerosis246 billable, 150 map to V28
- D69Purpura and other hemorrhagic conditions12 billable, 5 map to V28
- M05Rheumatoid arthritis with rheumatoid factor211 billable, 211 map to V28
- M06Other rheumatoid arthritis101 billable, 101 map to V28
- J96Respiratory failure, not elsewhere classified12 billable, 12 map to V28
- I25Chronic ischemic heart disease56 billable, 8 map to V28
- I63Cerebral infarction91 billable, 91 map to V28
- I67Other cerebrovascular diseases17 billable, 1 map to V28
- F32Depressive episode10 billable, 3 map to V28
- F33Major depressive disorder, recurrent9 billable, 3 map to V28
- C34Malignant neoplasm of bronchus and lung16 billable, 16 map to V28
- C50Malignant neoplasm of breast57 billable, 57 map to V28
- C92Myeloid leukemia30 billable, 30 map to V28
- K50Crohn's disease [regional enteritis]28 billable, 28 map to V28
Frequently asked questions
- What is ICD-10-CM and how does it relate to HCC coding?
- ICD-10-CM is the diagnosis code set used in the United States for outpatient and physician billing. CMS-HCC risk adjustment models (V28 and V24) take a subset of ICD-10-CM codes and group them into Hierarchical Condition Categories (HCCs) that drive Medicare Advantage payment. Every billable ICD-10-CM code on HCC Buddy shows its V28 HCC category, V24 HCC category, CMS-HCC V28 PY2026 calculator, and MEAT documentation requirements so coders can capture the conditions that affect risk adjustment factor scores.
- How many ICD-10-CM codes are billable for HCC in 2026?
- The FY2026 ICD-10-CM tabular list contains roughly 74,000 codes, of which about 8,000 map to a CMS-HCC V28 payment category. The remaining codes are still billable for diagnosis but do not contribute to the patient's RAF score under risk adjustment. HCC Buddy filters and surfaces the HCC-mapped subset for every search so coders see payment-relevant codes first.
- Is the ICD-10 search free to use?
- Yes. ICD-10 code search and HCC mapping are free with a HCC Buddy account. The RAF Calculator supports CMS-HCC V28 PY2026 with complete member context and shows no score unless every required source and calculation check passes. Other Pro features (Ask Buddy, code basket exports, drug-to-diagnosis lookup, and the Chrome extension) require a Pro subscription with a 7-day free trial, no card required. The tools are built for coding inputs such as ICD-10 codes, HCC selections, and documentation concepts, not patient identifiers.
- How current is the ICD-10 code set on HCC Buddy?
- HCC Buddy ships the current FY2026 ICD-10-CM code set (effective October 1, 2025 through September 30, 2026), including the April 1, 2026 mid-year update. The CMS-HCC V28 model is at 100 percent phase-in for payment year 2026. Historical FY2016 through FY2025 code sets remain searchable for retrospective coding and audit work.

