HCC 139: Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications ICD-10-CM
CMS-HCC Category 139 (Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications) is a payment HCC in the V28 Medicare Advantage risk adjustment model. For payment year 2026 it adds a risk adjustment factor between 0.000 and 0.478 to a beneficiary's RAF score depending on the payment segment (0.242 for a community, non-dual, aged enrollee). 27 ICD-10-CM diagnosis codes map to HCC 139. A more severe related category (HCC 135, HCC 136, HCC 137, and HCC 138) supersedes it when both are reported.
RAF Weight by Payment Segment 7 segments
| Payment Segment | Relative Factor |
|---|---|
| Community, non-dual, aged | 0.242 |
| Community, partial-benefit dual, aged | 0.308 |
| Community, full-benefit dual, aged | 0.478 |
| Community, non-dual, disabled | 0.207 |
| Community, partial-benefit dual, disabled | 0.159 |
| Community, full-benefit dual, disabled | 0.250 |
| Institutional | 0.000 |
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 135 (Drug Use with Psychotic Complications), HCC 136 (Alcohol Use with Psychotic Complications), HCC 137 (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications), and HCC 138 (Drug Use Disorder, Mild, Uncomplicated, Except Cannabis) supersede HCC 139 when reported together.
ICD-10-CM Codes That Map to HCC 139 27 codes
- F10.130 Alcohol abuse with withdrawal, uncomplicated from V24 HCC 55
- F10.139 Alcohol abuse with withdrawal, unspecified from V24 HCC 55
- F10.14 Alcohol abuse with alcohol-induced mood disorder from V24 HCC 55
- F10.180 Alcohol abuse with alcohol-induced anxiety disorder from V24 HCC 55
- F10.181 Alcohol abuse with alcohol-induced sexual dysfunction from V24 HCC 55
- F10.182 Alcohol abuse with alcohol-induced sleep disorder from V24 HCC 55
- F10.188 Alcohol abuse with other alcohol-induced disorder from V24 HCC 55
- F10.20 Alcohol dependence, uncomplicated from V24 HCC 55
- F10.21 Alcohol dependence, in remission from V24 HCC 55
- F10.220 Alcohol dependence with intoxication, uncomplicated from V24 HCC 55
- F10.221 Alcohol dependence with intoxication delirium from V24 HCC 55
- F10.229 Alcohol dependence with intoxication, unspecified from V24 HCC 55
- F10.230 Alcohol dependence with withdrawal, uncomplicated from V24 HCC 55
- F10.239 Alcohol dependence with withdrawal, unspecified from V24 HCC 55
- F10.24 Alcohol dependence with alcohol-induced mood disorder from V24 HCC 55
- F10.280 Alcohol dependence with alcohol-induced anxiety disorder from V24 HCC 55
- F10.281 Alcohol dependence with alcohol-induced sexual dysfunction from V24 HCC 55
- F10.282 Alcohol dependence with alcohol-induced sleep disorder from V24 HCC 55
- F10.288 Alcohol dependence with other alcohol-induced disorder from V24 HCC 55
- F10.29 Alcohol dependence with unspecified alcohol-induced disorder from V24 HCC 55
- F10.930 Alcohol use, unspecified with withdrawal, uncomplicated from V24 HCC 55
- F10.939 Alcohol use, unspecified with withdrawal, unspecified from V24 HCC 55
- F10.94 Alcohol use, unspecified with alcohol-induced mood disorder from V24 HCC 55
- F10.980 Alcohol use, unspecified with alcohol-induced anxiety disorder from V24 HCC 55
- F10.981 Alcohol use, unspecified with alcohol-induced sexual dysfunction from V24 HCC 55
- F10.982 Alcohol use, unspecified with alcohol-induced sleep disorder from V24 HCC 55
- F10.988 Alcohol use, unspecified with other alcohol-induced disorder from V24 HCC 55
Every code above carries the full HCC 139 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 139
What is HCC 139 in the CMS-HCC model?
HCC 139 is CMS-HCC Category 139 (Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications) in the V28 risk adjustment model. It covers 27 ICD-10-CM diagnosis codes that raise a Medicare Advantage beneficiary's risk score when documented.
What is the RAF weight for HCC 139?
For payment year 2026, HCC 139 adds 0.242 to the RAF score of a community, non-dual, aged beneficiary. The published weights range from 0.000 to 0.478 across the seven payment segments shown above.
Which categories supersede HCC 139?
HCC 135 (Drug Use with Psychotic Complications), HCC 136 (Alcohol Use with Psychotic Complications), HCC 137 (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications), and HCC 138 (Drug Use Disorder, Mild, Uncomplicated, Except Cannabis) sit above HCC 139 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.
