HCC 153: Personality Disorders; Anorexia/Bulimia Nervosa ICD-10-CM
CMS-HCC Category 153 (Personality Disorders; Anorexia/Bulimia Nervosa) is a payment HCC in the V28 Medicare Advantage risk adjustment model. For payment year 2026 it adds a risk adjustment factor between 0.199 and 0.464 to a beneficiary's RAF score depending on the payment segment (0.396 for a community, non-dual, aged enrollee). 35 ICD-10-CM diagnosis codes map to HCC 153. A more severe related category (HCC 151 and HCC 152) supersedes it when both are reported.
RAF Weight by Payment Segment 7 segments
| Payment Segment | Relative Factor |
|---|---|
| Community, non-dual, aged | 0.396 |
| Community, partial-benefit dual, aged | 0.464 |
| Community, full-benefit dual, aged | 0.420 |
| Community, non-dual, disabled | 0.290 |
| Community, partial-benefit dual, disabled | 0.232 |
| Community, full-benefit dual, disabled | 0.255 |
| Institutional | 0.199 |
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 151 (Schizophrenia) and HCC 152 (Psychosis, Except Schizophrenia) supersede HCC 153 when reported together. HCC 153 in turn supersedes HCC 154 (Bipolar Disorders without Psychosis) and HCC 155 (Major Depression, Moderate or Severe, without Psychosis).
ICD-10-CM Codes That Map to HCC 153 35 codes
- F21 Schizotypal disorder from V24 HCC 60
- F44.0 Dissociative amnesia from V24 HCC 60
- F44.1 Dissociative fugue from V24 HCC 60
- F44.81 Dissociative identity disorder from V24 HCC 60
- F48.1 Depersonalization-derealization syndrome from V24 HCC 60
- F50.00 Anorexia nervosa, unspecified new to V28
- F50.010 Anorexia nervosa, restricting type, mild new to V28
- F50.011 Anorexia nervosa, restricting type, moderate new to V28
- F50.012 Anorexia nervosa, restricting type, severe new to V28
- F50.013 Anorexia nervosa, restricting type, extreme new to V28
- F50.014 Anorexia nervosa, restricting type, in remission new to V28
- F50.019 Anorexia nervosa, restricting type, unspecified new to V28
- F50.020 Anorexia nervosa, binge eating/purging type, mild new to V28
- F50.021 Anorexia nervosa, binge eating/purging type, moderate new to V28
- F50.022 Anorexia nervosa, binge eating/purging type, severe new to V28
- F50.023 Anorexia nervosa, binge eating/purging type, extreme new to V28
- F50.024 Anorexia nervosa, binge eating/purging type, in remission new to V28
- F50.029 Anorexia nervosa, binge eating/purging type, unspecified new to V28
- F50.20 Bulimia nervosa, unspecified new to V28
- F50.21 Bulimia nervosa, mild new to V28
- F50.22 Bulimia nervosa, moderate new to V28
- F50.23 Bulimia nervosa, severe new to V28
- F50.24 Bulimia nervosa, extreme new to V28
- F50.25 Bulimia nervosa, in remission new to V28
- F60.0 Paranoid personality disorder from V24 HCC 60
- F60.1 Schizoid personality disorder from V24 HCC 60
- F60.2 Antisocial personality disorder from V24 HCC 60
- F60.3 Borderline personality disorder from V24 HCC 60
- F60.4 Histrionic personality disorder from V24 HCC 60
- F60.5 Obsessive-compulsive personality disorder from V24 HCC 60
- F60.6 Avoidant personality disorder from V24 HCC 60
- F60.7 Dependent personality disorder from V24 HCC 60
- F60.81 Narcissistic personality disorder from V24 HCC 60
- F60.89 Other specific personality disorders from V24 HCC 60
- F60.9 Personality disorder, unspecified from V24 HCC 60
Every code above carries the full HCC 153 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 153
What is HCC 153 in the CMS-HCC model?
HCC 153 is CMS-HCC Category 153 (Personality Disorders; Anorexia/Bulimia Nervosa) in the V28 risk adjustment model. It covers 35 ICD-10-CM diagnosis codes that raise a Medicare Advantage beneficiary's risk score when documented.
What is the RAF weight for HCC 153?
For payment year 2026, HCC 153 adds 0.396 to the RAF score of a community, non-dual, aged beneficiary. The published weights range from 0.199 to 0.464 across the seven payment segments shown above.
Which categories supersede HCC 153?
HCC 151 (Schizophrenia) and HCC 152 (Psychosis, Except Schizophrenia) sit above HCC 153 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.
