CMS-HCC Risk Adjustment · V28 Model · Payment Year 2026 371 Codes

HCC 155: Major Depression, Moderate or Severe, without Psychosis ICD-10-CM

CMS-HCC Category 155 (Major Depression, Moderate or Severe, without Psychosis) is a payment HCC in the V28 Medicare Advantage risk adjustment model. For payment year 2026 it adds a risk adjustment factor between 0.108 and 0.316 to a beneficiary's RAF score depending on the payment segment (0.299 for a community, non-dual, aged enrollee). 371 ICD-10-CM diagnosis codes map to HCC 155. A more severe related category (HCC 151, HCC 152, HCC 153, and HCC 154) supersedes it when both are reported.

✓ Built from the official CMS PY 2026 risk adjustment filesV28 pays 100% of MA risk scores from PY 2026
+0.299
RAF, Community Non-Dual Aged
371
ICD-10-CM Codes
HCC 151
Superseded By
PY 2026
Dataset
CMS-HCC V28

RAF Weight by Payment Segment 7 segments

Payment SegmentRelative Factor
Community, non-dual, aged0.299
Community, partial-benefit dual, aged0.269
Community, full-benefit dual, aged0.316
Community, non-dual, disabled0.166
Community, partial-benefit dual, disabled0.108
Community, full-benefit dual, disabled0.126
Institutional0.199

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), HCC 152 (Psychosis, Except Schizophrenia), HCC 153 (Personality Disorders; Anorexia/Bulimia Nervosa), and HCC 154 (Bipolar Disorders without Psychosis) supersede HCC 155 when reported together.

ICD-10-CM

ICD-10-CM Codes That Map to HCC 155 371 codes

371 of 371 shown
  • F32.1 Major depressive disorder, single episode, moderate from V24 HCC 59
  • F32.2 Major depressive disorder, single episode, severe without psychotic features from V24 HCC 59
  • F33.1 Major depressive disorder, recurrent, moderate from V24 HCC 59
  • F33.2 Major depressive disorder, recurrent severe without psychotic features from V24 HCC 59
  • R45.88 Nonsuicidal self-harm from V24 HCC 59
  • T14.91XA Suicide attempt, initial encounter from V24 HCC 59
  • T36.0X2A Poisoning by penicillins, intentional self-harm, initial encounter from V24 HCC 59
  • T36.1X2A Poisoning by cephalosporins and other beta-lactam antibiotics, intentional self-harm, initial encounter from V24 HCC 59
  • T36.2X2A Poisoning by chloramphenicol group, intentional self-harm, initial encounter from V24 HCC 59
  • T36.3X2A Poisoning by macrolides, intentional self-harm, initial encounter from V24 HCC 59
  • T36.4X2A Poisoning by tetracyclines, intentional self-harm, initial encounter from V24 HCC 59
  • T36.5X2A Poisoning by aminoglycosides, intentional self-harm, initial encounter from V24 HCC 59
  • T36.6X2A Poisoning by rifampicins, intentional self-harm, initial encounter from V24 HCC 59
  • T36.7X2A Poisoning by antifungal antibiotics, systemically used, intentional self-harm, initial encounter from V24 HCC 59
  • T36.8X2A Poisoning by other systemic antibiotics, intentional self-harm, initial encounter from V24 HCC 59
  • T36.92XA Poisoning by unspecified systemic antibiotic, intentional self-harm, initial encounter from V24 HCC 59
  • T36.AX2A Poisoning by fluoroquinolone antibiotics, intentional self-harm, initial encounter new to V28
  • T37.0X2A Poisoning by sulfonamides, intentional self-harm, initial encounter from V24 HCC 59
  • T37.1X2A Poisoning by antimycobacterial drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T37.2X2A Poisoning by antimalarials and drugs acting on other blood protozoa, intentional self-harm, initial encounter from V24 HCC 59
  • T37.3X2A Poisoning by other antiprotozoal drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T37.4X2A Poisoning by anthelminthics, intentional self-harm, initial encounter from V24 HCC 59
  • T37.5X2A Poisoning by antiviral drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T37.8X2A Poisoning by other specified systemic anti-infectives and antiparasitics, intentional self-harm, initial encounter from V24 HCC 59
  • T37.92XA Poisoning by unspecified systemic anti-infective and antiparasitics, intentional self-harm, initial encounter from V24 HCC 59
  • T38.0X2A Poisoning by glucocorticoids and synthetic analogues, intentional self-harm, initial encounter from V24 HCC 59
  • T38.1X2A Poisoning by thyroid hormones and substitutes, intentional self-harm, initial encounter from V24 HCC 59
  • T38.2X2A Poisoning by antithyroid drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T38.3X2A Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T38.4X2A Poisoning by oral contraceptives, intentional self-harm, initial encounter from V24 HCC 59
  • T38.5X2A Poisoning by other estrogens and progestogens, intentional self-harm, initial encounter from V24 HCC 59
  • T38.6X2A Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, intentional self-harm, initial encounter from V24 HCC 59
  • T38.7X2A Poisoning by androgens and anabolic congeners, intentional self-harm, initial encounter from V24 HCC 59
  • T38.802A Poisoning by unspecified hormones and synthetic substitutes, intentional self-harm, initial encounter from V24 HCC 59
  • T38.812A Poisoning by anterior pituitary [adenohypophyseal] hormones, intentional self-harm, initial encounter from V24 HCC 59
  • T38.892A Poisoning by other hormones and synthetic substitutes, intentional self-harm, initial encounter from V24 HCC 59
  • T38.902A Poisoning by unspecified hormone antagonists, intentional self-harm, initial encounter from V24 HCC 59
  • T38.992A Poisoning by other hormone antagonists, intentional self-harm, initial encounter from V24 HCC 59
  • T39.012A Poisoning by aspirin, intentional self-harm, initial encounter from V24 HCC 59
  • T39.092A Poisoning by salicylates, intentional self-harm, initial encounter from V24 HCC 59
  • T39.1X2A Poisoning by 4-Aminophenol derivatives, intentional self-harm, initial encounter from V24 HCC 59
  • T39.2X2A Poisoning by pyrazolone derivatives, intentional self-harm, initial encounter from V24 HCC 59
  • T39.312A Poisoning by propionic acid derivatives, intentional self-harm, initial encounter from V24 HCC 59
  • T39.392A Poisoning by other nonsteroidal anti-inflammatory drugs [NSAID], intentional self-harm, initial encounter from V24 HCC 59
  • T39.4X2A Poisoning by antirheumatics, not elsewhere classified, intentional self-harm, initial encounter from V24 HCC 59
  • T39.8X2A Poisoning by other nonopioid analgesics and antipyretics, not elsewhere classified, intentional self-harm, initial encounter from V24 HCC 59
  • T39.92XA Poisoning by unspecified nonopioid analgesic, antipyretic and antirheumatic, intentional self-harm, initial encounter from V24 HCC 59
  • T40.0X2A Poisoning by opium, intentional self-harm, initial encounter from V24 HCC 59
  • T40.1X2A Poisoning by heroin, intentional self-harm, initial encounter from V24 HCC 59
  • T40.2X2A Poisoning by other opioids, intentional self-harm, initial encounter from V24 HCC 59
  • T40.3X2A Poisoning by methadone, intentional self-harm, initial encounter from V24 HCC 59
  • T40.412A Poisoning by fentanyl or fentanyl analogs, intentional self-harm, initial encounter from V24 HCC 59
  • T40.422A Poisoning by tramadol, intentional self-harm, initial encounter from V24 HCC 59
  • T40.492A Poisoning by other synthetic narcotics, intentional self-harm, initial encounter from V24 HCC 59
  • T40.5X2A Poisoning by cocaine, intentional self-harm, initial encounter from V24 HCC 59
  • T40.602A Poisoning by unspecified narcotics, intentional self-harm, initial encounter from V24 HCC 59
  • T40.692A Poisoning by other narcotics, intentional self-harm, initial encounter from V24 HCC 59
  • T40.712A Poisoning by cannabis, intentional self-harm, initial encounter from V24 HCC 59
  • T40.722A Poisoning by synthetic cannabinoids, intentional self-harm, initial encounter from V24 HCC 59
  • T40.8X2A Poisoning by lysergide [LSD], intentional self-harm, initial encounter from V24 HCC 59
  • T40.902A Poisoning by unspecified psychodysleptics [hallucinogens], intentional self-harm, initial encounter from V24 HCC 59
  • T40.992A Poisoning by other psychodysleptics [hallucinogens], intentional self-harm, initial encounter from V24 HCC 59
  • T41.0X2A Poisoning by inhaled anesthetics, intentional self-harm, initial encounter from V24 HCC 59
  • T41.1X2A Poisoning by intravenous anesthetics, intentional self-harm, initial encounter from V24 HCC 59
  • T41.202A Poisoning by unspecified general anesthetics, intentional self-harm, initial encounter from V24 HCC 59
  • T41.292A Poisoning by other general anesthetics, intentional self-harm, initial encounter from V24 HCC 59
  • T41.3X2A Poisoning by local anesthetics, intentional self-harm, initial encounter from V24 HCC 59
  • T41.42XA Poisoning by unspecified anesthetic, intentional self-harm, initial encounter from V24 HCC 59
  • T41.5X2A Poisoning by therapeutic gases, intentional self-harm, initial encounter from V24 HCC 59
  • T42.0X2A Poisoning by hydantoin derivatives, intentional self-harm, initial encounter from V24 HCC 59
  • T42.1X2A Poisoning by iminostilbenes, intentional self-harm, initial encounter from V24 HCC 59
  • T42.2X2A Poisoning by succinimides and oxazolidinediones, intentional self-harm, initial encounter from V24 HCC 59
  • T42.3X2A Poisoning by barbiturates, intentional self-harm, initial encounter from V24 HCC 59
  • T42.4X2A Poisoning by benzodiazepines, intentional self-harm, initial encounter from V24 HCC 59
  • T42.5X2A Poisoning by mixed antiepileptics, intentional self-harm, initial encounter from V24 HCC 59
  • T42.6X2A Poisoning by other antiepileptic and sedative-hypnotic drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T42.72XA Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T42.8X2A Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, intentional self-harm, initial encounter from V24 HCC 59
  • T43.012A Poisoning by tricyclic antidepressants, intentional self-harm, initial encounter from V24 HCC 59
  • T43.022A Poisoning by tetracyclic antidepressants, intentional self-harm, initial encounter from V24 HCC 59
  • T43.1X2A Poisoning by monoamine-oxidase-inhibitor antidepressants, intentional self-harm, initial encounter from V24 HCC 59
  • T43.202A Poisoning by unspecified antidepressants, intentional self-harm, initial encounter from V24 HCC 59
  • T43.212A Poisoning by selective serotonin and norepinephrine reuptake inhibitors, intentional self-harm, initial encounter from V24 HCC 59
  • T43.222A Poisoning by selective serotonin reuptake inhibitors, intentional self-harm, initial encounter from V24 HCC 59
  • T43.292A Poisoning by other antidepressants, intentional self-harm, initial encounter from V24 HCC 59
  • T43.3X2A Poisoning by phenothiazine antipsychotics and neuroleptics, intentional self-harm, initial encounter from V24 HCC 59
  • T43.4X2A Poisoning by butyrophenone and thiothixene neuroleptics, intentional self-harm, initial encounter from V24 HCC 59
  • T43.502A Poisoning by unspecified antipsychotics and neuroleptics, intentional self-harm, initial encounter from V24 HCC 59
  • T43.592A Poisoning by other antipsychotics and neuroleptics, intentional self-harm, initial encounter from V24 HCC 59
  • T43.602A Poisoning by unspecified psychostimulants, intentional self-harm, initial encounter from V24 HCC 59
  • T43.612A Poisoning by caffeine, intentional self-harm, initial encounter from V24 HCC 59
  • T43.622A Poisoning by amphetamines, intentional self-harm, initial encounter from V24 HCC 59
  • T43.632A Poisoning by methylphenidate, intentional self-harm, initial encounter from V24 HCC 59
  • T43.642A Poisoning by ecstasy, intentional self-harm, initial encounter from V24 HCC 59
  • T43.652A Poisoning by methamphetamines intentional self-harm, initial encounter from V24 HCC 59
  • T43.692A Poisoning by other psychostimulants, intentional self-harm, initial encounter from V24 HCC 59
  • T43.8X2A Poisoning by other psychotropic drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T43.92XA Poisoning by unspecified psychotropic drug, intentional self-harm, initial encounter from V24 HCC 59
  • T44.0X2A Poisoning by anticholinesterase agents, intentional self-harm, initial encounter from V24 HCC 59
  • T44.1X2A Poisoning by other parasympathomimetics [cholinergics], intentional self-harm, initial encounter from V24 HCC 59
  • T44.2X2A Poisoning by ganglionic blocking drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T44.3X2A Poisoning by other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, intentional self-harm, initial encounter from V24 HCC 59
  • T44.4X2A Poisoning by predominantly alpha-adrenoreceptor agonists, intentional self-harm, initial encounter from V24 HCC 59
  • T44.5X2A Poisoning by predominantly beta-adrenoreceptor agonists, intentional self-harm, initial encounter from V24 HCC 59
  • T44.6X2A Poisoning by alpha-adrenoreceptor antagonists, intentional self-harm, initial encounter from V24 HCC 59
  • T44.7X2A Poisoning by beta-adrenoreceptor antagonists, intentional self-harm, initial encounter from V24 HCC 59
  • T44.8X2A Poisoning by centrally-acting and adrenergic-neuron-blocking agents, intentional self-harm, initial encounter from V24 HCC 59
  • T44.902A Poisoning by unspecified drugs primarily affecting the autonomic nervous system, intentional self-harm, initial encounter from V24 HCC 59
  • T44.992A Poisoning by other drug primarily affecting the autonomic nervous system, intentional self-harm, initial encounter from V24 HCC 59
  • T45.0X2A Poisoning by antiallergic and antiemetic drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T45.1X2A Poisoning by antineoplastic and immunosuppressive drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T45.2X2A Poisoning by vitamins, intentional self-harm, initial encounter from V24 HCC 59
  • T45.3X2A Poisoning by enzymes, intentional self-harm, initial encounter from V24 HCC 59
  • T45.4X2A Poisoning by iron and its compounds, intentional self-harm, initial encounter from V24 HCC 59
  • T45.512A Poisoning by anticoagulants, intentional self-harm, initial encounter from V24 HCC 59
  • T45.522A Poisoning by antithrombotic drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T45.602A Poisoning by unspecified fibrinolysis-affecting drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T45.612A Poisoning by thrombolytic drug, intentional self-harm, initial encounter from V24 HCC 59
  • T45.622A Poisoning by hemostatic drug, intentional self-harm, initial encounter from V24 HCC 59
  • T45.692A Poisoning by other fibrinolysis-affecting drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T45.7X2A Poisoning by anticoagulant antagonists, vitamin K and other coagulants, intentional self-harm, initial encounter from V24 HCC 59
  • T45.8X2A Poisoning by other primarily systemic and hematological agents, intentional self-harm, initial encounter from V24 HCC 59
  • T45.92XA Poisoning by unspecified primarily systemic and hematological agent, intentional self-harm, initial encounter from V24 HCC 59
  • T45.AX2A Poisoning by immune checkpoint inhibitors and immunostimulant drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T46.0X2A Poisoning by cardiac-stimulant glycosides and drugs of similar action, intentional self-harm, initial encounter from V24 HCC 59
  • T46.1X2A Poisoning by calcium-channel blockers, intentional self-harm, initial encounter from V24 HCC 59
  • T46.2X2A Poisoning by other antidysrhythmic drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T46.3X2A Poisoning by coronary vasodilators, intentional self-harm, initial encounter from V24 HCC 59
  • T46.4X2A Poisoning by angiotensin-converting-enzyme inhibitors, intentional self-harm, initial encounter from V24 HCC 59
  • T46.5X2A Poisoning by other antihypertensive drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T46.6X2A Poisoning by antihyperlipidemic and antiarteriosclerotic drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T46.7X2A Poisoning by peripheral vasodilators, intentional self-harm, initial encounter from V24 HCC 59
  • T46.8X2A Poisoning by antivaricose drugs, including sclerosing agents, intentional self-harm, initial encounter from V24 HCC 59
  • T46.902A Poisoning by unspecified agents primarily affecting the cardiovascular system, intentional self-harm, initial encounter from V24 HCC 59
  • T46.992A Poisoning by other agents primarily affecting the cardiovascular system, intentional self-harm, initial encounter from V24 HCC 59
  • T47.0X2A Poisoning by histamine H2-receptor blockers, intentional self-harm, initial encounter from V24 HCC 59
  • T47.1X2A Poisoning by other antacids and anti-gastric-secretion drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T47.2X2A Poisoning by stimulant laxatives, intentional self-harm, initial encounter from V24 HCC 59
  • T47.3X2A Poisoning by saline and osmotic laxatives, intentional self-harm, initial encounter from V24 HCC 59
  • T47.4X2A Poisoning by other laxatives, intentional self-harm, initial encounter from V24 HCC 59
  • T47.5X2A Poisoning by digestants, intentional self-harm, initial encounter from V24 HCC 59
  • T47.6X2A Poisoning by antidiarrheal drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T47.7X2A Poisoning by emetics, intentional self-harm, initial encounter from V24 HCC 59
  • T47.8X2A Poisoning by other agents primarily affecting gastrointestinal system, intentional self-harm, initial encounter from V24 HCC 59
  • T47.92XA Poisoning by unspecified agents primarily affecting the gastrointestinal system, intentional self-harm, initial encounter from V24 HCC 59
  • T48.0X2A Poisoning by oxytocic drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T48.1X2A Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], intentional self-harm, initial encounter from V24 HCC 59
  • T48.202A Poisoning by unspecified drugs acting on muscles, intentional self-harm, initial encounter from V24 HCC 59
  • T48.292A Poisoning by other drugs acting on muscles, intentional self-harm, initial encounter from V24 HCC 59
  • T48.3X2A Poisoning by antitussives, intentional self-harm, initial encounter from V24 HCC 59
  • T48.4X2A Poisoning by expectorants, intentional self-harm, initial encounter from V24 HCC 59
  • T48.5X2A Poisoning by other anti-common-cold drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T48.6X2A Poisoning by antiasthmatics, intentional self-harm, initial encounter from V24 HCC 59
  • T48.902A Poisoning by unspecified agents primarily acting on the respiratory system, intentional self-harm, initial encounter from V24 HCC 59
  • T48.992A Poisoning by other agents primarily acting on the respiratory system, intentional self-harm, initial encounter from V24 HCC 59
  • T49.0X2A Poisoning by local antifungal, anti-infective and anti-inflammatory drugs, intentional self-harm, initial encounter from V24 HCC 59
  • T49.1X2A Poisoning by antipruritics, intentional self-harm, initial encounter from V24 HCC 59
  • T49.2X2A Poisoning by local astringents and local detergents, intentional self-harm, initial encounter from V24 HCC 59
  • T49.3X2A Poisoning by emollients, demulcents and protectants, intentional self-harm, initial encounter from V24 HCC 59
  • T49.4X2A Poisoning by keratolytics, keratoplastics, and other hair treatment drugs and preparations, intentional self-harm, initial encounter from V24 HCC 59
  • T49.5X2A Poisoning by ophthalmological drugs and preparations, intentional self-harm, initial encounter from V24 HCC 59
  • T49.6X2A Poisoning by otorhinolaryngological drugs and preparations, intentional self-harm, initial encounter from V24 HCC 59
  • T49.7X2A Poisoning by dental drugs, topically applied, intentional self-harm, initial encounter from V24 HCC 59
  • T49.8X2A Poisoning by other topical agents, intentional self-harm, initial encounter from V24 HCC 59
  • T49.92XA Poisoning by unspecified topical agent, intentional self-harm, initial encounter from V24 HCC 59
  • T50.0X2A Poisoning by mineralocorticoids and their antagonists, intentional self-harm, initial encounter from V24 HCC 59
  • T50.1X2A Poisoning by loop [high-ceiling] diuretics, intentional self-harm, initial encounter from V24 HCC 59
  • T50.2X2A Poisoning by carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, intentional self-harm, initial encounter from V24 HCC 59
  • T50.3X2A Poisoning by electrolytic, caloric and water-balance agents, intentional self-harm, initial encounter from V24 HCC 59
  • T50.4X2A Poisoning by drugs affecting uric acid metabolism, intentional self-harm, initial encounter from V24 HCC 59
  • T50.5X2A Poisoning by appetite depressants, intentional self-harm, initial encounter from V24 HCC 59
  • T50.6X2A Poisoning by antidotes and chelating agents, intentional self-harm, initial encounter from V24 HCC 59
  • T50.7X2A Poisoning by analeptics and opioid receptor antagonists, intentional self-harm, initial encounter from V24 HCC 59
  • T50.8X2A Poisoning by diagnostic agents, intentional self-harm, initial encounter from V24 HCC 59
  • T50.902A Poisoning by unspecified drugs, medicaments and biological substances, intentional self-harm, initial encounter from V24 HCC 59
  • T50.912A Poisoning by multiple unspecified drugs, medicaments and biological substances, intentional self-harm, initial encounter from V24 HCC 59
  • T50.992A Poisoning by other drugs, medicaments and biological substances, intentional self-harm, initial encounter from V24 HCC 59
  • T50.A12A Poisoning by pertussis vaccine, including combinations with a pertussis component, intentional self-harm, initial encounter from V24 HCC 59
  • T50.A22A Poisoning by mixed bacterial vaccines without a pertussis component, intentional self-harm, initial encounter from V24 HCC 59
  • T50.A92A Poisoning by other bacterial vaccines, intentional self-harm, initial encounter from V24 HCC 59
  • T50.B12A Poisoning by smallpox vaccines, intentional self-harm, initial encounter from V24 HCC 59
  • T50.B92A Poisoning by other viral vaccines, intentional self-harm, initial encounter from V24 HCC 59
  • T50.Z12A Poisoning by immunoglobulin, intentional self-harm, initial encounter from V24 HCC 59
  • T50.Z92A Poisoning by other vaccines and biological substances, intentional self-harm, initial encounter from V24 HCC 59
  • T51.0X2A Toxic effect of ethanol, intentional self-harm, initial encounter from V24 HCC 59
  • T51.1X2A Toxic effect of methanol, intentional self-harm, initial encounter from V24 HCC 59
  • T51.2X2A Toxic effect of 2-Propanol, intentional self-harm, initial encounter from V24 HCC 59
  • T51.3X2A Toxic effect of fusel oil, intentional self-harm, initial encounter from V24 HCC 59
  • T51.8X2A Toxic effect of other alcohols, intentional self-harm, initial encounter from V24 HCC 59
  • T51.92XA Toxic effect of unspecified alcohol, intentional self-harm, initial encounter from V24 HCC 59
  • T52.0X2A Toxic effect of petroleum products, intentional self-harm, initial encounter from V24 HCC 59
  • T52.1X2A Toxic effect of benzene, intentional self-harm, initial encounter from V24 HCC 59
  • T52.2X2A Toxic effect of homologues of benzene, intentional self-harm, initial encounter from V24 HCC 59
  • T52.3X2A Toxic effect of glycols, intentional self-harm, initial encounter from V24 HCC 59
  • T52.4X2A Toxic effect of ketones, intentional self-harm, initial encounter from V24 HCC 59
  • T52.8X2A Toxic effect of other organic solvents, intentional self-harm, initial encounter from V24 HCC 59
  • T52.92XA Toxic effect of unspecified organic solvent, intentional self-harm, initial encounter from V24 HCC 59
  • T53.0X2A Toxic effect of carbon tetrachloride, intentional self-harm, initial encounter from V24 HCC 59
  • T53.1X2A Toxic effect of chloroform, intentional self-harm, initial encounter from V24 HCC 59
  • T53.2X2A Toxic effect of trichloroethylene, intentional self-harm, initial encounter from V24 HCC 59
  • T53.3X2A Toxic effect of tetrachloroethylene, intentional self-harm, initial encounter from V24 HCC 59
  • T53.4X2A Toxic effect of dichloromethane, intentional self-harm, initial encounter from V24 HCC 59
  • T53.5X2A Toxic effect of chlorofluorocarbons, intentional self-harm, initial encounter from V24 HCC 59
  • T53.6X2A Toxic effect of other halogen derivatives of aliphatic hydrocarbons, intentional self-harm, initial encounter from V24 HCC 59
  • T53.7X2A Toxic effect of other halogen derivatives of aromatic hydrocarbons, intentional self-harm, initial encounter from V24 HCC 59
  • T53.92XA Toxic effect of unspecified halogen derivatives of aliphatic and aromatic hydrocarbons, intentional self-harm, initial encounter from V24 HCC 59
  • T54.0X2A Toxic effect of phenol and phenol homologues, intentional self-harm, initial encounter from V24 HCC 59
  • T54.1X2A Toxic effect of other corrosive organic compounds, intentional self-harm, initial encounter from V24 HCC 59
  • T54.2X2A Toxic effect of corrosive acids and acid-like substances, intentional self-harm, initial encounter from V24 HCC 59
  • T54.3X2A Toxic effect of corrosive alkalis and alkali-like substances, intentional self-harm, initial encounter from V24 HCC 59
  • T54.92XA Toxic effect of unspecified corrosive substance, intentional self-harm, initial encounter from V24 HCC 59
  • T55.0X2A Toxic effect of soaps, intentional self-harm, initial encounter from V24 HCC 59
  • T55.1X2A Toxic effect of detergents, intentional self-harm, initial encounter from V24 HCC 59
  • T56.0X2A Toxic effect of lead and its compounds, intentional self-harm, initial encounter from V24 HCC 59
  • T56.1X2A Toxic effect of mercury and its compounds, intentional self-harm, initial encounter from V24 HCC 59
  • T56.2X2A Toxic effect of chromium and its compounds, intentional self-harm, initial encounter from V24 HCC 59
  • T56.3X2A Toxic effect of cadmium and its compounds, intentional self-harm, initial encounter from V24 HCC 59
  • T56.4X2A Toxic effect of copper and its compounds, intentional self-harm, initial encounter from V24 HCC 59
  • T56.5X2A Toxic effect of zinc and its compounds, intentional self-harm, initial encounter from V24 HCC 59
  • T56.6X2A Toxic effect of tin and its compounds, intentional self-harm, initial encounter from V24 HCC 59
  • T56.7X2A Toxic effect of beryllium and its compounds, intentional self-harm, initial encounter from V24 HCC 59
  • T56.812A Toxic effect of thallium, intentional self-harm, initial encounter from V24 HCC 59
  • T56.822A Toxic effect of gadolinium, intentional self-harm, initial encounter from V24 HCC 59
  • T56.892A Toxic effect of other metals, intentional self-harm, initial encounter from V24 HCC 59
  • T56.92XA Toxic effect of unspecified metal, intentional self-harm, initial encounter from V24 HCC 59
  • T57.0X2A Toxic effect of arsenic and its compounds, intentional self-harm, initial encounter from V24 HCC 59
  • T57.1X2A Toxic effect of phosphorus and its compounds, intentional self-harm, initial encounter from V24 HCC 59
  • T57.2X2A Toxic effect of manganese and its compounds, intentional self-harm, initial encounter from V24 HCC 59
  • T57.3X2A Toxic effect of hydrogen cyanide, intentional self-harm, initial encounter from V24 HCC 59
  • T57.8X2A Toxic effect of other specified inorganic substances, intentional self-harm, initial encounter from V24 HCC 59
  • T57.92XA Toxic effect of unspecified inorganic substance, intentional self-harm, initial encounter from V24 HCC 59
  • T58.02XA Toxic effect of carbon monoxide from motor vehicle exhaust, intentional self-harm, initial encounter from V24 HCC 59
  • T58.12XA Toxic effect of carbon monoxide from utility gas, intentional self-harm, initial encounter from V24 HCC 59
  • T58.2X2A Toxic effect of carbon monoxide from incomplete combustion of other domestic fuels, intentional self-harm, initial encounter from V24 HCC 59
  • T58.8X2A Toxic effect of carbon monoxide from other source, intentional self-harm, initial encounter from V24 HCC 59
  • T58.92XA Toxic effect of carbon monoxide from unspecified source, intentional self-harm, initial encounter from V24 HCC 59
  • T59.0X2A Toxic effect of nitrogen oxides, intentional self-harm, initial encounter from V24 HCC 59
  • T59.1X2A Toxic effect of sulfur dioxide, intentional self-harm, initial encounter from V24 HCC 59
  • T59.2X2A Toxic effect of formaldehyde, intentional self-harm, initial encounter from V24 HCC 59
  • T59.3X2A Toxic effect of lacrimogenic gas, intentional self-harm, initial encounter from V24 HCC 59
  • T59.4X2A Toxic effect of chlorine gas, intentional self-harm, initial encounter from V24 HCC 59
  • T59.5X2A Toxic effect of fluorine gas and hydrogen fluoride, intentional self-harm, initial encounter from V24 HCC 59
  • T59.6X2A Toxic effect of hydrogen sulfide, intentional self-harm, initial encounter from V24 HCC 59
  • T59.7X2A Toxic effect of carbon dioxide, intentional self-harm, initial encounter from V24 HCC 59
  • T59.812A Toxic effect of smoke, intentional self-harm, initial encounter from V24 HCC 59
  • T59.892A Toxic effect of other specified gases, fumes and vapors, intentional self-harm, initial encounter from V24 HCC 59
  • T59.92XA Toxic effect of unspecified gases, fumes and vapors, intentional self-harm, initial encounter from V24 HCC 59
  • T60.0X2A Toxic effect of organophosphate and carbamate insecticides, intentional self-harm, initial encounter from V24 HCC 59
  • T60.1X2A Toxic effect of halogenated insecticides, intentional self-harm, initial encounter from V24 HCC 59
  • T60.2X2A Toxic effect of other insecticides, intentional self-harm, initial encounter from V24 HCC 59
  • T60.3X2A Toxic effect of herbicides and fungicides, intentional self-harm, initial encounter from V24 HCC 59
  • T60.4X2A Toxic effect of rodenticides, intentional self-harm, initial encounter from V24 HCC 59
  • T60.8X2A Toxic effect of other pesticides, intentional self-harm, initial encounter from V24 HCC 59
  • T60.92XA Toxic effect of unspecified pesticide, intentional self-harm, initial encounter from V24 HCC 59
  • T61.02XA Ciguatera fish poisoning, intentional self-harm, initial encounter from V24 HCC 59
  • T61.12XA Scombroid fish poisoning, intentional self-harm, initial encounter from V24 HCC 59
  • T61.772A Other fish poisoning, intentional self-harm, initial encounter from V24 HCC 59
  • T61.782A Other shellfish poisoning, intentional self-harm, initial encounter from V24 HCC 59
  • T61.8X2A Toxic effect of other seafood, intentional self-harm, initial encounter from V24 HCC 59
  • T61.92XA Toxic effect of unspecified seafood, intentional self-harm, initial encounter from V24 HCC 59
  • T62.0X2A Toxic effect of ingested mushrooms, intentional self-harm, initial encounter from V24 HCC 59
  • T62.1X2A Toxic effect of ingested berries, intentional self-harm, initial encounter from V24 HCC 59
  • T62.2X2A Toxic effect of other ingested (parts of) plant(s), intentional self-harm, initial encounter from V24 HCC 59
  • T62.8X2A Toxic effect of other specified noxious substances eaten as food, intentional self-harm, initial encounter from V24 HCC 59
  • T62.92XA Toxic effect of unspecified noxious substance eaten as food, intentional self-harm, initial encounter from V24 HCC 59
  • T63.002A Toxic effect of unspecified snake venom, intentional self-harm, initial encounter from V24 HCC 59
  • T63.012A Toxic effect of rattlesnake venom, intentional self-harm, initial encounter from V24 HCC 59
  • T63.022A Toxic effect of coral snake venom, intentional self-harm, initial encounter from V24 HCC 59
  • T63.032A Toxic effect of taipan venom, intentional self-harm, initial encounter from V24 HCC 59
  • T63.042A Toxic effect of cobra venom, intentional self-harm, initial encounter from V24 HCC 59
  • T63.062A Toxic effect of venom of other North and South American snake, intentional self-harm, initial encounter from V24 HCC 59
  • T63.072A Toxic effect of venom of other Australian snake, intentional self-harm, initial encounter from V24 HCC 59
  • T63.082A Toxic effect of venom of other African and Asian snake, intentional self-harm, initial encounter from V24 HCC 59
  • T63.092A Toxic effect of venom of other snake, intentional self-harm, initial encounter from V24 HCC 59
  • T63.112A Toxic effect of venom of gila monster, intentional self-harm, initial encounter from V24 HCC 59
  • T63.122A Toxic effect of venom of other venomous lizard, intentional self-harm, initial encounter from V24 HCC 59
  • T63.192A Toxic effect of venom of other reptiles, intentional self-harm, initial encounter from V24 HCC 59
  • T63.2X2A Toxic effect of venom of scorpion, intentional self-harm, initial encounter from V24 HCC 59
  • T63.302A Toxic effect of unspecified spider venom, intentional self-harm, initial encounter from V24 HCC 59
  • T63.312A Toxic effect of venom of black widow spider, intentional self-harm, initial encounter from V24 HCC 59
  • T63.322A Toxic effect of venom of tarantula, intentional self-harm, initial encounter from V24 HCC 59
  • T63.332A Toxic effect of venom of brown recluse spider, intentional self-harm, initial encounter from V24 HCC 59
  • T63.392A Toxic effect of venom of other spider, intentional self-harm, initial encounter from V24 HCC 59
  • T63.412A Toxic effect of venom of centipedes and venomous millipedes, intentional self-harm, initial encounter from V24 HCC 59
  • T63.422A Toxic effect of venom of ants, intentional self-harm, initial encounter from V24 HCC 59
  • T63.432A Toxic effect of venom of caterpillars, intentional self-harm, initial encounter from V24 HCC 59
  • T63.442A Toxic effect of venom of bees, intentional self-harm, initial encounter from V24 HCC 59
  • T63.452A Toxic effect of venom of hornets, intentional self-harm, initial encounter from V24 HCC 59
  • T63.462A Toxic effect of venom of wasps, intentional self-harm, initial encounter from V24 HCC 59
  • T63.482A Toxic effect of venom of other arthropod, intentional self-harm, initial encounter from V24 HCC 59
  • T63.512A Toxic effect of contact with stingray, intentional self-harm, initial encounter from V24 HCC 59
  • T63.592A Toxic effect of contact with other venomous fish, intentional self-harm, initial encounter from V24 HCC 59
  • T63.612A Toxic effect of contact with Portuguese Man-o-war, intentional self-harm, initial encounter from V24 HCC 59
  • T63.622A Toxic effect of contact with other jellyfish, intentional self-harm, initial encounter from V24 HCC 59
  • T63.632A Toxic effect of contact with sea anemone, intentional self-harm, initial encounter from V24 HCC 59
  • T63.692A Toxic effect of contact with other venomous marine animals, intentional self-harm, initial encounter from V24 HCC 59
  • T63.712A Toxic effect of contact with venomous marine plant, intentional self-harm, initial encounter from V24 HCC 59
  • T63.792A Toxic effect of contact with other venomous plant, intentional self-harm, initial encounter from V24 HCC 59
  • T63.812A Toxic effect of contact with venomous frog, intentional self-harm, initial encounter from V24 HCC 59
  • T63.822A Toxic effect of contact with venomous toad, intentional self-harm, initial encounter from V24 HCC 59
  • T63.832A Toxic effect of contact with other venomous amphibian, intentional self-harm, initial encounter from V24 HCC 59
  • T63.892A Toxic effect of contact with other venomous animals, intentional self-harm, initial encounter from V24 HCC 59
  • T63.92XA Toxic effect of contact with unspecified venomous animal, intentional self-harm, initial encounter from V24 HCC 59
  • T64.02XA Toxic effect of aflatoxin, intentional self-harm, initial encounter from V24 HCC 59
  • T64.82XA Toxic effect of other mycotoxin food contaminants, intentional self-harm, initial encounter from V24 HCC 59
  • T65.0X2A Toxic effect of cyanides, intentional self-harm, initial encounter from V24 HCC 59
  • T65.1X2A Toxic effect of strychnine and its salts, intentional self-harm, initial encounter from V24 HCC 59
  • T65.212A Toxic effect of chewing tobacco, intentional self-harm, initial encounter from V24 HCC 59
  • T65.222A Toxic effect of tobacco cigarettes, intentional self-harm, initial encounter from V24 HCC 59
  • T65.292A Toxic effect of other tobacco and nicotine, intentional self-harm, initial encounter from V24 HCC 59
  • T65.3X2A Toxic effect of nitroderivatives and aminoderivatives of benzene and its homologues, intentional self-harm, initial encounter from V24 HCC 59
  • T65.4X2A Toxic effect of carbon disulfide, intentional self-harm, initial encounter from V24 HCC 59
  • T65.5X2A Toxic effect of nitroglycerin and other nitric acids and esters, intentional self-harm, initial encounter from V24 HCC 59
  • T65.6X2A Toxic effect of paints and dyes, not elsewhere classified, intentional self-harm, initial encounter from V24 HCC 59
  • T65.812A Toxic effect of latex, intentional self-harm, initial encounter from V24 HCC 59
  • T65.822A Toxic effect of harmful algae and algae toxins, intentional self-harm, initial encounter from V24 HCC 59
  • T65.832A Toxic effect of fiberglass, intentional self-harm, initial encounter from V24 HCC 59
  • T65.842A Toxic effect of xylazine, intentional self-harm, initial encounter new to V28
  • T65.892A Toxic effect of other specified substances, intentional self-harm, initial encounter from V24 HCC 59
  • T65.92XA Toxic effect of unspecified substance, intentional self-harm, initial encounter from V24 HCC 59
  • T71.112A Asphyxiation due to smothering under pillow, intentional self-harm, initial encounter from V24 HCC 59
  • T71.122A Asphyxiation due to plastic bag, intentional self-harm, initial encounter from V24 HCC 59
  • T71.132A Asphyxiation due to being trapped in bed linens, intentional self-harm, initial encounter from V24 HCC 59
  • T71.152A Asphyxiation due to smothering in furniture, intentional self-harm, initial encounter from V24 HCC 59
  • T71.162A Asphyxiation due to hanging, intentional self-harm, initial encounter from V24 HCC 59
  • T71.192A Asphyxiation due to mechanical threat to breathing due to other causes, intentional self-harm, initial encounter from V24 HCC 59
  • T71.222A Asphyxiation due to being trapped in a car trunk, intentional self-harm, initial encounter from V24 HCC 59
  • T71.232A Asphyxiation due to being trapped in a (discarded) refrigerator, intentional self-harm, initial encounter from V24 HCC 59
  • X71.0XXA Intentional self-harm by drowning and submersion while in bathtub, initial encounter from V24 HCC 59
  • X71.1XXA Intentional self-harm by drowning and submersion while in swimming pool, initial encounter from V24 HCC 59
  • X71.2XXA Intentional self-harm by drowning and submersion after jump into swimming pool, initial encounter from V24 HCC 59
  • X71.3XXA Intentional self-harm by drowning and submersion in natural water, initial encounter from V24 HCC 59
  • X71.8XXA Other intentional self-harm by drowning and submersion, initial encounter from V24 HCC 59
  • X71.9XXA Intentional self-harm by drowning and submersion, unspecified, initial encounter from V24 HCC 59
  • X72.XXXA Intentional self-harm by handgun discharge, initial encounter from V24 HCC 59
  • X73.0XXA Intentional self-harm by shotgun discharge, initial encounter from V24 HCC 59
  • X73.1XXA Intentional self-harm by hunting rifle discharge, initial encounter from V24 HCC 59
  • X73.2XXA Intentional self-harm by machine gun discharge, initial encounter from V24 HCC 59
  • X73.8XXA Intentional self-harm by other larger firearm discharge, initial encounter from V24 HCC 59
  • X73.9XXA Intentional self-harm by unspecified larger firearm discharge, initial encounter from V24 HCC 59
  • X74.01XA Intentional self-harm by airgun, initial encounter from V24 HCC 59
  • X74.02XA Intentional self-harm by paintball gun, initial encounter from V24 HCC 59
  • X74.09XA Intentional self-harm by other gas, air or spring-operated gun, initial encounter from V24 HCC 59
  • X74.8XXA Intentional self-harm by other firearm discharge, initial encounter from V24 HCC 59
  • X74.9XXA Intentional self-harm by unspecified firearm discharge, initial encounter from V24 HCC 59
  • X75.XXXA Intentional self-harm by explosive material, initial encounter from V24 HCC 59
  • X76.XXXA Intentional self-harm by smoke, fire and flames, initial encounter from V24 HCC 59
  • X77.0XXA Intentional self-harm by steam or hot vapors, initial encounter from V24 HCC 59
  • X77.1XXA Intentional self-harm by hot tap water, initial encounter from V24 HCC 59
  • X77.2XXA Intentional self-harm by other hot fluids, initial encounter from V24 HCC 59
  • X77.3XXA Intentional self-harm by hot household appliances, initial encounter from V24 HCC 59
  • X77.8XXA Intentional self-harm by other hot objects, initial encounter from V24 HCC 59
  • X77.9XXA Intentional self-harm by unspecified hot objects, initial encounter from V24 HCC 59
  • X78.0XXA Intentional self-harm by sharp glass, initial encounter from V24 HCC 59
  • X78.1XXA Intentional self-harm by knife, initial encounter from V24 HCC 59
  • X78.2XXA Intentional self-harm by sword or dagger, initial encounter from V24 HCC 59
  • X78.8XXA Intentional self-harm by other sharp object, initial encounter from V24 HCC 59
  • X78.9XXA Intentional self-harm by unspecified sharp object, initial encounter from V24 HCC 59
  • X79.XXXA Intentional self-harm by blunt object, initial encounter from V24 HCC 59
  • X80.XXXA Intentional self-harm by jumping from a high place, initial encounter from V24 HCC 59
  • X81.0XXA Intentional self-harm by jumping or lying in front of motor vehicle, initial encounter from V24 HCC 59
  • X81.1XXA Intentional self-harm by jumping or lying in front of (subway) train, initial encounter from V24 HCC 59
  • X81.8XXA Intentional self-harm by jumping or lying in front of other moving object, initial encounter from V24 HCC 59
  • X82.0XXA Intentional collision of motor vehicle with other motor vehicle, initial encounter from V24 HCC 59
  • X82.1XXA Intentional collision of motor vehicle with train, initial encounter from V24 HCC 59
  • X82.2XXA Intentional collision of motor vehicle with tree, initial encounter from V24 HCC 59
  • X82.8XXA Other intentional self-harm by crashing of motor vehicle, initial encounter from V24 HCC 59
  • X83.0XXA Intentional self-harm by crashing of aircraft, initial encounter from V24 HCC 59
  • X83.1XXA Intentional self-harm by electrocution, initial encounter from V24 HCC 59
  • X83.2XXA Intentional self-harm by exposure to extremes of cold, initial encounter from V24 HCC 59
  • X83.8XXA Intentional self-harm by other specified means, initial encounter from V24 HCC 59

Every code above carries the full HCC 155 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 155

What is HCC 155 in the CMS-HCC model?

HCC 155 is CMS-HCC Category 155 (Major Depression, Moderate or Severe, without Psychosis) in the V28 risk adjustment model. It covers 371 ICD-10-CM diagnosis codes that raise a Medicare Advantage beneficiary's risk score when documented.

What is the RAF weight for HCC 155?

For payment year 2026, HCC 155 adds 0.299 to the RAF score of a community, non-dual, aged beneficiary. The published weights range from 0.108 to 0.316 across the seven payment segments shown above.

Which categories supersede HCC 155?

HCC 151 (Schizophrenia), HCC 152 (Psychosis, Except Schizophrenia), HCC 153 (Personality Disorders; Anorexia/Bulimia Nervosa), and HCC 154 (Bipolar Disorders without Psychosis) sit above HCC 155 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.