CMS-HCC Risk Adjustment · V28 Model · Payment Year 2026 2 Codes

HCC 193: Chronic Inflammatory Demyelinating Polyneuritis and Multifocal Motor Neuropathy ICD-10-CM

CMS-HCC Category 193 (Chronic Inflammatory Demyelinating Polyneuritis and Multifocal Motor Neuropathy) is a payment HCC in the V28 Medicare Advantage risk adjustment model. For payment year 2026 it adds a risk adjustment factor between 0.850 and 1.692 to a beneficiary's RAF score depending on the payment segment (1.692 for a community, non-dual, aged enrollee). 2 ICD-10-CM diagnosis codes map to HCC 193. It sits at the top of its hierarchy: no other condition category supersedes it.

✓ Built from the official CMS PY 2026 risk adjustment filesV28 pays 100% of MA risk scores from PY 2026
+1.692
RAF, Community Non-Dual Aged
2
ICD-10-CM Codes
Top
Of Its Hierarchy
PY 2026
Dataset
CMS-HCC V28

RAF Weight by Payment Segment 7 segments

Payment SegmentRelative Factor
Community, non-dual, aged1.692
Community, partial-benefit dual, aged1.149
Community, full-benefit dual, aged0.957
Community, non-dual, disabled1.427
Community, partial-benefit dual, disabled0.850
Community, full-benefit dual, disabled0.939
Institutional0.913

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. HCC 193 neither supersedes nor is superseded by any other category, so it always counts alongside unrelated HCCs.

ICD-10-CM

ICD-10-CM Codes That Map to HCC 193 2 codes

2 of 2 shown
  • G61.81 Chronic inflammatory demyelinating polyneuritis from V24 HCC 75
  • G61.82 Multifocal motor neuropathy from V24 HCC 75

Every code above carries the full HCC 193 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 193

What is HCC 193 in the CMS-HCC model?

HCC 193 is CMS-HCC Category 193 (Chronic Inflammatory Demyelinating Polyneuritis and Multifocal Motor Neuropathy) in the V28 risk adjustment model. It covers 2 ICD-10-CM diagnosis codes that raise a Medicare Advantage beneficiary's risk score when documented.

What is the RAF weight for HCC 193?

For payment year 2026, HCC 193 adds 1.692 to the RAF score of a community, non-dual, aged beneficiary. The published weights range from 0.850 to 1.692 across the seven payment segments shown above.

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.