HCC 182: Spinal Cord Disorders/Injuries ICD-10-CM
CMS-HCC Category 182 (Spinal Cord Disorders/Injuries) is a payment HCC in the V28 Medicare Advantage risk adjustment model. For payment year 2026 it adds a risk adjustment factor between 0.270 and 0.478 to a beneficiary's RAF score depending on the payment segment (0.478 for a community, non-dual, aged enrollee). 251 ICD-10-CM diagnosis codes map to HCC 182. A more severe related category (HCC 180, HCC 181, HCC 191, and HCC 192) supersedes it when both are reported.
RAF Weight by Payment Segment 7 segments
| Payment Segment | Relative Factor |
|---|---|
| Community, non-dual, aged | 0.478 |
| Community, partial-benefit dual, aged | 0.401 |
| Community, full-benefit dual, aged | 0.402 |
| Community, non-dual, disabled | 0.368 |
| Community, partial-benefit dual, disabled | 0.316 |
| Community, full-benefit dual, disabled | 0.308 |
| Institutional | 0.270 |
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 180 (Quadriplegia), HCC 181 (Paraplegia), HCC 191 (Quadriplegic Cerebral Palsy), and HCC 192 (Cerebral Palsy, Except Quadriplegic) supersede HCC 182 when reported together.
ICD-10-CM Codes That Map to HCC 182 251 codes
- B00.82 Herpes simplex myelitis from V24 HCC 72
- B01.12 Varicella myelitis from V24 HCC 72
- B02.24 Postherpetic myelitis from V24 HCC 72
- G04.1 Tropical spastic paraplegia from V24 HCC 72
- G04.82 Acute flaccid myelitis from V24 HCC 72
- G04.89 Other myelitis from V24 HCC 72
- G04.91 Myelitis, unspecified from V24 HCC 72
- G05.4 Myelitis in diseases classified elsewhere from V24 HCC 72
- G14 Postpolio syndrome new to V28
- G32.0 Subacute combined degeneration of spinal cord in diseases classified elsewhere from V24 HCC 72
- G32.81 Cerebellar ataxia in diseases classified elsewhere from V24 HCC 72
- G37.3 Acute transverse myelitis in demyelinating disease of central nervous system from V24 HCC 72
- G37.4 Subacute necrotizing myelitis of central nervous system from V24 HCC 72
- G83.4 Cauda equina syndrome from V24 HCC 72
- G90.1 Familial dysautonomia [Riley-Day] from V24 HCC 72
- G95.0 Syringomyelia and syringobulbia from V24 HCC 72
- G95.11 Acute infarction of spinal cord (embolic) (nonembolic) from V24 HCC 72
- G95.19 Other vascular myelopathies from V24 HCC 72
- G95.20 Unspecified cord compression from V24 HCC 72
- G95.29 Other cord compression from V24 HCC 72
- G95.81 Conus medullaris syndrome from V24 HCC 72
- G95.89 Other specified diseases of spinal cord from V24 HCC 72
- G95.9 Disease of spinal cord, unspecified from V24 HCC 72
- G99.2 Myelopathy in diseases classified elsewhere from V24 HCC 72
- P11.5 Birth injury to spine and spinal cord new to V28
- Q00.0 Anencephaly from V24 HCC 72
- Q00.1 Craniorachischisis from V24 HCC 72
- Q00.2 Iniencephaly from V24 HCC 72
- Q01.0 Frontal encephalocele from V24 HCC 72
- Q01.1 Nasofrontal encephalocele from V24 HCC 72
- Q01.2 Occipital encephalocele from V24 HCC 72
- Q01.8 Encephalocele of other sites from V24 HCC 72
- Q01.9 Encephalocele, unspecified from V24 HCC 72
- Q02 Microcephaly from V24 HCC 72
- Q03.0 Malformations of aqueduct of Sylvius from V24 HCC 72
- Q03.1 Atresia of foramina of Magendie and Luschka from V24 HCC 72
- Q03.8 Other congenital hydrocephalus from V24 HCC 72
- Q03.9 Congenital hydrocephalus, unspecified from V24 HCC 72
- Q04.0 Congenital malformations of corpus callosum from V24 HCC 72
- Q04.1 Arhinencephaly from V24 HCC 72
- Q04.2 Holoprosencephaly from V24 HCC 72
- Q04.3 Other reduction deformities of brain from V24 HCC 72
- Q04.4 Septo-optic dysplasia of brain from V24 HCC 72
- Q04.5 Megalencephaly from V24 HCC 72
- Q04.6 Congenital cerebral cysts from V24 HCC 72
- Q04.8 Other specified congenital malformations of brain from V24 HCC 72
- Q04.9 Congenital malformation of brain, unspecified from V24 HCC 72
- Q05.0 Cervical spina bifida with hydrocephalus from V24 HCC 72
- Q05.1 Thoracic spina bifida with hydrocephalus from V24 HCC 72
- Q05.2 Lumbar spina bifida with hydrocephalus from V24 HCC 72
- Q05.3 Sacral spina bifida with hydrocephalus from V24 HCC 72
- Q05.4 Unspecified spina bifida with hydrocephalus from V24 HCC 72
- Q05.5 Cervical spina bifida without hydrocephalus from V24 HCC 72
- Q05.6 Thoracic spina bifida without hydrocephalus from V24 HCC 72
- Q05.7 Lumbar spina bifida without hydrocephalus from V24 HCC 72
- Q05.8 Sacral spina bifida without hydrocephalus from V24 HCC 72
- Q05.9 Spina bifida, unspecified from V24 HCC 72
- Q06.0 Amyelia from V24 HCC 72
- Q06.1 Hypoplasia and dysplasia of spinal cord from V24 HCC 72
- Q06.2 Diastematomyelia from V24 HCC 72
- Q06.3 Other congenital cauda equina malformations from V24 HCC 72
- Q06.4 Hydromyelia from V24 HCC 72
- Q06.8 Other specified congenital malformations of spinal cord from V24 HCC 72
- Q06.9 Congenital malformation of spinal cord, unspecified from V24 HCC 72
- Q07.00 Arnold-Chiari syndrome without spina bifida or hydrocephalus from V24 HCC 72
- Q07.01 Arnold-Chiari syndrome with spina bifida from V24 HCC 72
- Q07.02 Arnold-Chiari syndrome with hydrocephalus from V24 HCC 72
- Q07.03 Arnold-Chiari syndrome with spina bifida and hydrocephalus from V24 HCC 72
- Q07.8 Other specified congenital malformations of nervous system from V24 HCC 72
- Q07.9 Congenital malformation of nervous system, unspecified from V24 HCC 72
- S14.0XXA Concussion and edema of cervical spinal cord, initial encounter from V24 HCC 72
- S14.0XXD Concussion and edema of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.101A Unspecified injury at C1 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.101D Unspecified injury at C1 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.102A Unspecified injury at C2 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.102D Unspecified injury at C2 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.103A Unspecified injury at C3 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.103D Unspecified injury at C3 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.104A Unspecified injury at C4 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.104D Unspecified injury at C4 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.105A Unspecified injury at C5 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.105D Unspecified injury at C5 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.106A Unspecified injury at C6 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.106D Unspecified injury at C6 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.107A Unspecified injury at C7 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.107D Unspecified injury at C7 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.108A Unspecified injury at C8 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.108D Unspecified injury at C8 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.109A Unspecified injury at unspecified level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.109D Unspecified injury at unspecified level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.121A Central cord syndrome at C1 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.121D Central cord syndrome at C1 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.122A Central cord syndrome at C2 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.122D Central cord syndrome at C2 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.123A Central cord syndrome at C3 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.123D Central cord syndrome at C3 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.124A Central cord syndrome at C4 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.124D Central cord syndrome at C4 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.125A Central cord syndrome at C5 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.125D Central cord syndrome at C5 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.126A Central cord syndrome at C6 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.126D Central cord syndrome at C6 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.127A Central cord syndrome at C7 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.127D Central cord syndrome at C7 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.128A Central cord syndrome at C8 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.128D Central cord syndrome at C8 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.129A Central cord syndrome at unspecified level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.129D Central cord syndrome at unspecified level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.131A Anterior cord syndrome at C1 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.131D Anterior cord syndrome at C1 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.132A Anterior cord syndrome at C2 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.132D Anterior cord syndrome at C2 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.133A Anterior cord syndrome at C3 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.133D Anterior cord syndrome at C3 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.134A Anterior cord syndrome at C4 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.134D Anterior cord syndrome at C4 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.135A Anterior cord syndrome at C5 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.135D Anterior cord syndrome at C5 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.136A Anterior cord syndrome at C6 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.136D Anterior cord syndrome at C6 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.137A Anterior cord syndrome at C7 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.137D Anterior cord syndrome at C7 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.138A Anterior cord syndrome at C8 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.138D Anterior cord syndrome at C8 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.139A Anterior cord syndrome at unspecified level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.139D Anterior cord syndrome at unspecified level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.141A Brown-Sequard syndrome at C1 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.141D Brown-Sequard syndrome at C1 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.142A Brown-Sequard syndrome at C2 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.142D Brown-Sequard syndrome at C2 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.143A Brown-Sequard syndrome at C3 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.143D Brown-Sequard syndrome at C3 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.144A Brown-Sequard syndrome at C4 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.144D Brown-Sequard syndrome at C4 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.145A Brown-Sequard syndrome at C5 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.145D Brown-Sequard syndrome at C5 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.146A Brown-Sequard syndrome at C6 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.146D Brown-Sequard syndrome at C6 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.147A Brown-Sequard syndrome at C7 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.147D Brown-Sequard syndrome at C7 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.148A Brown-Sequard syndrome at C8 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.148D Brown-Sequard syndrome at C8 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.149A Brown-Sequard syndrome at unspecified level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.149D Brown-Sequard syndrome at unspecified level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.151A Other incomplete lesion at C1 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.151D Other incomplete lesion at C1 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.152A Other incomplete lesion at C2 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.152D Other incomplete lesion at C2 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.153A Other incomplete lesion at C3 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.153D Other incomplete lesion at C3 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.154A Other incomplete lesion at C4 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.154D Other incomplete lesion at C4 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.155A Other incomplete lesion at C5 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.155D Other incomplete lesion at C5 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.156A Other incomplete lesion at C6 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.156D Other incomplete lesion at C6 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.157A Other incomplete lesion at C7 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.157D Other incomplete lesion at C7 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.158A Other incomplete lesion at C8 level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.158D Other incomplete lesion at C8 level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S14.159A Other incomplete lesion at unspecified level of cervical spinal cord, initial encounter from V24 HCC 72
- S14.159D Other incomplete lesion at unspecified level of cervical spinal cord, subsequent encounter from V24 HCC 72
- S24.0XXA Concussion and edema of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.0XXD Concussion and edema of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.101A Unspecified injury at T1 level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.101D Unspecified injury at T1 level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.102A Unspecified injury at T2-T6 level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.102D Unspecified injury at T2-T6 level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.103A Unspecified injury at T7-T10 level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.103D Unspecified injury at T7-T10 level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.104A Unspecified injury at T11-T12 level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.104D Unspecified injury at T11-T12 level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.109A Unspecified injury at unspecified level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.109D Unspecified injury at unspecified level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.131A Anterior cord syndrome at T1 level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.131D Anterior cord syndrome at T1 level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.132A Anterior cord syndrome at T2-T6 level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.132D Anterior cord syndrome at T2-T6 level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.133A Anterior cord syndrome at T7-T10 level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.133D Anterior cord syndrome at T7-T10 level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.134A Anterior cord syndrome at T11-T12 level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.134D Anterior cord syndrome at T11-T12 level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.139A Anterior cord syndrome at unspecified level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.139D Anterior cord syndrome at unspecified level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.141A Brown-Sequard syndrome at T1 level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.141D Brown-Sequard syndrome at T1 level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.142A Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.142D Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.143A Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.143D Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.144A Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.144D Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.149A Brown-Sequard syndrome at unspecified level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.149D Brown-Sequard syndrome at unspecified level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.151A Other incomplete lesion at T1 level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.151D Other incomplete lesion at T1 level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.152A Other incomplete lesion at T2-T6 level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.152D Other incomplete lesion at T2-T6 level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.153A Other incomplete lesion at T7-T10 level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.153D Other incomplete lesion at T7-T10 level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.154A Other incomplete lesion at T11-T12 level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.154D Other incomplete lesion at T11-T12 level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S24.159A Other incomplete lesion at unspecified level of thoracic spinal cord, initial encounter from V24 HCC 72
- S24.159D Other incomplete lesion at unspecified level of thoracic spinal cord, subsequent encounter from V24 HCC 72
- S34.01XA Concussion and edema of lumbar spinal cord, initial encounter from V24 HCC 72
- S34.01XD Concussion and edema of lumbar spinal cord, subsequent encounter from V24 HCC 72
- S34.02XA Concussion and edema of sacral spinal cord, initial encounter from V24 HCC 72
- S34.02XD Concussion and edema of sacral spinal cord, subsequent encounter from V24 HCC 72
- S34.101A Unspecified injury to L1 level of lumbar spinal cord, initial encounter from V24 HCC 72
- S34.101D Unspecified injury to L1 level of lumbar spinal cord, subsequent encounter from V24 HCC 72
- S34.102A Unspecified injury to L2 level of lumbar spinal cord, initial encounter from V24 HCC 72
- S34.102D Unspecified injury to L2 level of lumbar spinal cord, subsequent encounter from V24 HCC 72
- S34.103A Unspecified injury to L3 level of lumbar spinal cord, initial encounter from V24 HCC 72
- S34.103D Unspecified injury to L3 level of lumbar spinal cord, subsequent encounter from V24 HCC 72
- S34.104A Unspecified injury to L4 level of lumbar spinal cord, initial encounter from V24 HCC 72
- S34.104D Unspecified injury to L4 level of lumbar spinal cord, subsequent encounter from V24 HCC 72
- S34.105A Unspecified injury to L5 level of lumbar spinal cord, initial encounter from V24 HCC 72
- S34.105D Unspecified injury to L5 level of lumbar spinal cord, subsequent encounter from V24 HCC 72
- S34.109A Unspecified injury to unspecified level of lumbar spinal cord, initial encounter from V24 HCC 72
- S34.109D Unspecified injury to unspecified level of lumbar spinal cord, subsequent encounter from V24 HCC 72
- S34.111A Complete lesion of L1 level of lumbar spinal cord, initial encounter from V24 HCC 72
- S34.111D Complete lesion of L1 level of lumbar spinal cord, subsequent encounter from V24 HCC 72
- S34.112A Complete lesion of L2 level of lumbar spinal cord, initial encounter from V24 HCC 72
- S34.112D Complete lesion of L2 level of lumbar spinal cord, subsequent encounter from V24 HCC 72
- S34.113A Complete lesion of L3 level of lumbar spinal cord, initial encounter from V24 HCC 72
- S34.113D Complete lesion of L3 level of lumbar spinal cord, subsequent encounter from V24 HCC 72
- S34.114A Complete lesion of L4 level of lumbar spinal cord, initial encounter from V24 HCC 72
- S34.114D Complete lesion of L4 level of lumbar spinal cord, subsequent encounter from V24 HCC 72
- S34.115A Complete lesion of L5 level of lumbar spinal cord, initial encounter from V24 HCC 72
- S34.115D Complete lesion of L5 level of lumbar spinal cord, subsequent encounter from V24 HCC 72
- S34.119A Complete lesion of unspecified level of lumbar spinal cord, initial encounter from V24 HCC 72
- S34.119D Complete lesion of unspecified level of lumbar spinal cord, subsequent encounter from V24 HCC 72
- S34.121A Incomplete lesion of L1 level of lumbar spinal cord, initial encounter from V24 HCC 72
- S34.121D Incomplete lesion of L1 level of lumbar spinal cord, subsequent encounter from V24 HCC 72
- S34.122A Incomplete lesion of L2 level of lumbar spinal cord, initial encounter from V24 HCC 72
- S34.122D Incomplete lesion of L2 level of lumbar spinal cord, subsequent encounter from V24 HCC 72
- S34.123A Incomplete lesion of L3 level of lumbar spinal cord, initial encounter from V24 HCC 72
- S34.123D Incomplete lesion of L3 level of lumbar spinal cord, subsequent encounter from V24 HCC 72
- S34.124A Incomplete lesion of L4 level of lumbar spinal cord, initial encounter from V24 HCC 72
- S34.124D Incomplete lesion of L4 level of lumbar spinal cord, subsequent encounter from V24 HCC 72
- S34.125A Incomplete lesion of L5 level of lumbar spinal cord, initial encounter from V24 HCC 72
- S34.125D Incomplete lesion of L5 level of lumbar spinal cord, subsequent encounter from V24 HCC 72
- S34.129A Incomplete lesion of unspecified level of lumbar spinal cord, initial encounter from V24 HCC 72
- S34.129D Incomplete lesion of unspecified level of lumbar spinal cord, subsequent encounter from V24 HCC 72
- S34.131A Complete lesion of sacral spinal cord, initial encounter from V24 HCC 72
- S34.131D Complete lesion of sacral spinal cord, subsequent encounter from V24 HCC 72
- S34.132A Incomplete lesion of sacral spinal cord, initial encounter from V24 HCC 72
- S34.132D Incomplete lesion of sacral spinal cord, subsequent encounter from V24 HCC 72
- S34.139A Unspecified injury to sacral spinal cord, initial encounter from V24 HCC 72
- S34.139D Unspecified injury to sacral spinal cord, subsequent encounter from V24 HCC 72
- S34.3XXA Injury of cauda equina, initial encounter from V24 HCC 72
Every code above carries the full HCC 182 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 182
What is HCC 182 in the CMS-HCC model?
HCC 182 is CMS-HCC Category 182 (Spinal Cord Disorders/Injuries) in the V28 risk adjustment model. It covers 251 ICD-10-CM diagnosis codes that raise a Medicare Advantage beneficiary's risk score when documented.
What is the RAF weight for HCC 182?
For payment year 2026, HCC 182 adds 0.478 to the RAF score of a community, non-dual, aged beneficiary. The published weights range from 0.270 to 0.478 across the seven payment segments shown above.
Which categories supersede HCC 182?
HCC 180 (Quadriplegia), HCC 181 (Paraplegia), HCC 191 (Quadriplegic Cerebral Palsy), and HCC 192 (Cerebral Palsy, Except Quadriplegic) sit above HCC 182 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.
