HCC 112: Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions ICD-10-CM
CMS-HCC Category 112 (Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions) is a payment HCC in the V28 Medicare Advantage risk adjustment model. For payment year 2026 it adds a risk adjustment factor between 0.450 and 0.708 to a beneficiary's RAF score depending on the payment segment (0.450 for a community, non-dual, aged enrollee). 21 ICD-10-CM diagnosis codes map to HCC 112. A more severe related category (HCC 111) supersedes it when both are reported.
RAF Weight by Payment Segment 7 segments
| Payment Segment | Relative Factor |
|---|---|
| Community, non-dual, aged | 0.450 |
| Community, partial-benefit dual, aged | 0.574 |
| Community, full-benefit dual, aged | 0.460 |
| Community, non-dual, disabled | 0.640 |
| Community, partial-benefit dual, disabled | 0.708 |
| Community, full-benefit dual, disabled | 0.634 |
| Institutional | 0.516 |
A beneficiary is scored in exactly one segment, set by Medicaid (dual) status, aged or disabled entitlement, and residence. Factors are relative weights, not dollar amounts; new-enrollee segments score on demographics only. In the hierarchy, HCC 111 (Hemophilia, Male) supersedes HCC 112 when reported together.
ICD-10-CM Codes That Map to HCC 112 21 codes
- D68.00 Von Willebrand disease, unspecified from V24 HCC 48
- D68.01 Von Willebrand disease, type 1 from V24 HCC 48
- D68.020 Von Willebrand disease, type 2A from V24 HCC 48
- D68.021 Von Willebrand disease, type 2B from V24 HCC 48
- D68.022 Von Willebrand disease, type 2M from V24 HCC 48
- D68.023 Von Willebrand disease, type 2N from V24 HCC 48
- D68.029 Von Willebrand disease, type 2, unspecified from V24 HCC 48
- D68.03 Von Willebrand disease, type 3 from V24 HCC 48
- D68.04 Acquired von Willebrand disease from V24 HCC 48
- D68.09 Other von Willebrand disease from V24 HCC 48
- D68.1 Hereditary factor XI deficiency from V24 HCC 48
- D68.2 Hereditary deficiency of other clotting factors from V24 HCC 48
- D68.311 Acquired hemophilia from V24 HCC 48
- D69.1 Qualitative platelet defects from V24 HCC 48
- D69.3 Immune thrombocytopenic purpura from V24 HCC 48
- D69.41 Evans syndrome from V24 HCC 48
- D69.42 Congenital and hereditary thrombocytopenia purpura from V24 HCC 48
- D69.49 Other primary thrombocytopenia from V24 HCC 48
- D75.84 Other platelet-activating anti-PF4 disorders from V24 HCC 48
- M31.10 Thrombotic microangiopathy, unspecified from V24 HCC 40
- M31.19 Other thrombotic microangiopathy from V24 HCC 40
Every code above carries the full HCC 112 weight when documented and reported on a Medicare Advantage encounter. The code link opens its full page with the complete risk adjustment card.
Questions About HCC 112
What is HCC 112 in the CMS-HCC model?
HCC 112 is CMS-HCC Category 112 (Immune Thrombocytopenia and Specified Coagulation Defects and Hemorrhagic Conditions) in the V28 risk adjustment model. It covers 21 ICD-10-CM diagnosis codes that raise a Medicare Advantage beneficiary's risk score when documented.
What is the RAF weight for HCC 112?
For payment year 2026, HCC 112 adds 0.450 to the RAF score of a community, non-dual, aged beneficiary. The published weights range from 0.450 to 0.708 across the seven payment segments shown above.
Which categories supersede HCC 112?
HCC 111 (Hemophilia, Male) sits above HCC 112 in the hierarchy: when a beneficiary has diagnoses in both, only the more severe category is paid.
Related References
Source: Centers for Medicare & Medicaid Services, Payment Year 2026 risk adjustment mapping and model software releases (CMS-HCC V28), applied to the FY 2026 ICD-10-CM code set. ICD List is not affiliated with CMS.
