Estimated Score
0.000
Medical Risk Assessment
CMS-HCC V28 MRA lookup and risk score estimator.
Search ICD-10 codes, identify HCCs, apply CMS hierarchy rules, and estimate 2026 Medicare Advantage risk score value from CMS V28 model files.
Use Note
For coding review, documentation support, and MRA planning.
This calculator uses CMS 2026 CMS-HCC V28 ICD-10 mappings, hierarchy rules, diagnosis categories, interactions, and continued enrollee relative factors. It is a reference tool and does not replace certified coding review, payer policy, encounter acceptance rules, chart validation, or final CMS model software output.
- Database loaded: 8,933 CMS V28 ICD-to-HCC mapping rows.
- Default segment: community non-dual aged. Select the segment that matches the patient.
- Codes are normalized automatically, so E11.22 and E1122 are treated the same.
Calculator
Add ICD-10 codes and calculate estimated HCC risk value.
Enter one ICD-10 code per line or paste a comma-separated list.
| Add | ICD-10 | Description | HCC | Value |
|---|
Ready.
Payment HCCs
0
Model
2026 CMS-HCC V28 continued enrollee estimate.
| Input ICD | Description | Mapped CC/HCC | Status |
|---|
| Variable | Description | Coefficient |
|---|