CMS-HCC Risk Adjustment · V28 Model · Payment Year 2026 119 Codes

HCC 254: Monoplegia, Other Paralytic Syndromes ICD-10-CM

CMS-HCC Category 254 (Monoplegia, Other Paralytic Syndromes) 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 0.365 to a beneficiary's RAF score depending on the payment segment (0.321 for a community, non-dual, aged enrollee). 119 ICD-10-CM diagnosis codes map to HCC 254. A more severe related category (HCC 180, HCC 181, HCC 191, HCC 192, and HCC 253) 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
+0.321
RAF, Community Non-Dual Aged
119
ICD-10-CM Codes
HCC 180
Superseded By
PY 2026
Dataset
CMS-HCC V28

RAF Weight by Payment Segment 7 segments

Payment SegmentRelative Factor
Community, non-dual, aged0.321
Community, partial-benefit dual, aged0.290
Community, full-benefit dual, aged0.292
Community, non-dual, disabled0.172
Community, partial-benefit dual, disabled0.335
Community, full-benefit dual, disabled0.365
Institutional0.000

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 180 (Quadriplegia), HCC 181 (Paraplegia), HCC 191 (Quadriplegic Cerebral Palsy), HCC 192 (Cerebral Palsy, Except Quadriplegic), and HCC 253 (Hemiplegia/Hemiparesis) supersede HCC 254 when reported together.

ICD-10-CM

ICD-10-CM Codes That Map to HCC 254 119 codes

119 of 119 shown
  • G83.0 Diplegia of upper limbs from V24 HCC 104
  • G83.10 Monoplegia of lower limb affecting unspecified side from V24 HCC 104
  • G83.11 Monoplegia of lower limb affecting right dominant side from V24 HCC 104
  • G83.12 Monoplegia of lower limb affecting left dominant side from V24 HCC 104
  • G83.13 Monoplegia of lower limb affecting right nondominant side from V24 HCC 104
  • G83.14 Monoplegia of lower limb affecting left nondominant side from V24 HCC 104
  • G83.20 Monoplegia of upper limb affecting unspecified side from V24 HCC 104
  • G83.21 Monoplegia of upper limb affecting right dominant side from V24 HCC 104
  • G83.22 Monoplegia of upper limb affecting left dominant side from V24 HCC 104
  • G83.23 Monoplegia of upper limb affecting right nondominant side from V24 HCC 104
  • G83.24 Monoplegia of upper limb affecting left nondominant side from V24 HCC 104
  • G83.30 Monoplegia, unspecified affecting unspecified side from V24 HCC 104
  • G83.31 Monoplegia, unspecified affecting right dominant side from V24 HCC 104
  • G83.32 Monoplegia, unspecified affecting left dominant side from V24 HCC 104
  • G83.33 Monoplegia, unspecified affecting right nondominant side from V24 HCC 104
  • G83.34 Monoplegia, unspecified affecting left nondominant side from V24 HCC 104
  • G83.5 Locked-in state from V24 HCC 104
  • G83.81 Brown-Sequard syndrome from V24 HCC 104
  • G83.82 Anterior cord syndrome from V24 HCC 104
  • G83.83 Posterior cord syndrome from V24 HCC 104
  • G83.84 Todd's paralysis (postepileptic) from V24 HCC 104
  • G83.89 Other specified paralytic syndromes from V24 HCC 104
  • G83.9 Paralytic syndrome, unspecified from V24 HCC 104
  • I69.031 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right dominant side from V24 HCC 104
  • I69.032 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left dominant side from V24 HCC 104
  • I69.033 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side from V24 HCC 104
  • I69.034 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side from V24 HCC 104
  • I69.039 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting unspecified side from V24 HCC 104
  • I69.041 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right dominant side from V24 HCC 104
  • I69.042 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left dominant side from V24 HCC 104
  • I69.043 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side from V24 HCC 104
  • I69.044 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side from V24 HCC 104
  • I69.049 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting unspecified side from V24 HCC 104
  • I69.061 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting right dominant side from V24 HCC 104
  • I69.062 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left dominant side from V24 HCC 104
  • I69.063 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting right non-dominant side from V24 HCC 104
  • I69.064 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left non-dominant side from V24 HCC 104
  • I69.065 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage, bilateral from V24 HCC 104
  • I69.069 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting unspecified side from V24 HCC 104
  • I69.131 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right dominant side from V24 HCC 104
  • I69.132 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left dominant side from V24 HCC 104
  • I69.133 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side from V24 HCC 104
  • I69.134 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side from V24 HCC 104
  • I69.139 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting unspecified side from V24 HCC 104
  • I69.141 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right dominant side from V24 HCC 104
  • I69.142 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side from V24 HCC 104
  • I69.143 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side from V24 HCC 104
  • I69.144 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side from V24 HCC 104
  • I69.149 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting unspecified side from V24 HCC 104
  • I69.161 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right dominant side from V24 HCC 104
  • I69.162 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left dominant side from V24 HCC 104
  • I69.163 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right non-dominant side from V24 HCC 104
  • I69.164 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left non-dominant side from V24 HCC 104
  • I69.165 Other paralytic syndrome following nontraumatic intracerebral hemorrhage, bilateral from V24 HCC 104
  • I69.169 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting unspecified side from V24 HCC 104
  • I69.231 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right dominant side from V24 HCC 104
  • I69.232 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left dominant side from V24 HCC 104
  • I69.233 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side from V24 HCC 104
  • I69.234 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side from V24 HCC 104
  • I69.239 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting unspecified side from V24 HCC 104
  • I69.241 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right dominant side from V24 HCC 104
  • I69.242 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left dominant side from V24 HCC 104
  • I69.243 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side from V24 HCC 104
  • I69.244 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side from V24 HCC 104
  • I69.249 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting unspecified side from V24 HCC 104
  • I69.261 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right dominant side from V24 HCC 104
  • I69.262 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left dominant side from V24 HCC 104
  • I69.263 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right non-dominant side from V24 HCC 104
  • I69.264 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left non-dominant side from V24 HCC 104
  • I69.265 Other paralytic syndrome following other nontraumatic intracranial hemorrhage, bilateral from V24 HCC 104
  • I69.269 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting unspecified side from V24 HCC 104
  • I69.331 Monoplegia of upper limb following cerebral infarction affecting right dominant side from V24 HCC 104
  • I69.332 Monoplegia of upper limb following cerebral infarction affecting left dominant side from V24 HCC 104
  • I69.333 Monoplegia of upper limb following cerebral infarction affecting right non-dominant side from V24 HCC 104
  • I69.334 Monoplegia of upper limb following cerebral infarction affecting left non-dominant side from V24 HCC 104
  • I69.339 Monoplegia of upper limb following cerebral infarction affecting unspecified side from V24 HCC 104
  • I69.341 Monoplegia of lower limb following cerebral infarction affecting right dominant side from V24 HCC 104
  • I69.342 Monoplegia of lower limb following cerebral infarction affecting left dominant side from V24 HCC 104
  • I69.343 Monoplegia of lower limb following cerebral infarction affecting right non-dominant side from V24 HCC 104
  • I69.344 Monoplegia of lower limb following cerebral infarction affecting left non-dominant side from V24 HCC 104
  • I69.349 Monoplegia of lower limb following cerebral infarction affecting unspecified side from V24 HCC 104
  • I69.361 Other paralytic syndrome following cerebral infarction affecting right dominant side from V24 HCC 104
  • I69.362 Other paralytic syndrome following cerebral infarction affecting left dominant side from V24 HCC 104
  • I69.363 Other paralytic syndrome following cerebral infarction affecting right non-dominant side from V24 HCC 104
  • I69.364 Other paralytic syndrome following cerebral infarction affecting left non-dominant side from V24 HCC 104
  • I69.365 Other paralytic syndrome following cerebral infarction, bilateral from V24 HCC 104
  • I69.369 Other paralytic syndrome following cerebral infarction affecting unspecified side from V24 HCC 104
  • I69.831 Monoplegia of upper limb following other cerebrovascular disease affecting right dominant side from V24 HCC 104
  • I69.832 Monoplegia of upper limb following other cerebrovascular disease affecting left dominant side from V24 HCC 104
  • I69.833 Monoplegia of upper limb following other cerebrovascular disease affecting right non-dominant side from V24 HCC 104
  • I69.834 Monoplegia of upper limb following other cerebrovascular disease affecting left non-dominant side from V24 HCC 104
  • I69.839 Monoplegia of upper limb following other cerebrovascular disease affecting unspecified side from V24 HCC 104
  • I69.841 Monoplegia of lower limb following other cerebrovascular disease affecting right dominant side from V24 HCC 104
  • I69.842 Monoplegia of lower limb following other cerebrovascular disease affecting left dominant side from V24 HCC 104
  • I69.843 Monoplegia of lower limb following other cerebrovascular disease affecting right non-dominant side from V24 HCC 104
  • I69.844 Monoplegia of lower limb following other cerebrovascular disease affecting left non-dominant side from V24 HCC 104
  • I69.849 Monoplegia of lower limb following other cerebrovascular disease affecting unspecified side from V24 HCC 104
  • I69.861 Other paralytic syndrome following other cerebrovascular disease affecting right dominant side from V24 HCC 104
  • I69.862 Other paralytic syndrome following other cerebrovascular disease affecting left dominant side from V24 HCC 104
  • I69.863 Other paralytic syndrome following other cerebrovascular disease affecting right non-dominant side from V24 HCC 104
  • I69.864 Other paralytic syndrome following other cerebrovascular disease affecting left non-dominant side from V24 HCC 104
  • I69.865 Other paralytic syndrome following other cerebrovascular disease, bilateral from V24 HCC 104
  • I69.869 Other paralytic syndrome following other cerebrovascular disease affecting unspecified side from V24 HCC 104
  • I69.931 Monoplegia of upper limb following unspecified cerebrovascular disease affecting right dominant side from V24 HCC 104
  • I69.932 Monoplegia of upper limb following unspecified cerebrovascular disease affecting left dominant side from V24 HCC 104
  • I69.933 Monoplegia of upper limb following unspecified cerebrovascular disease affecting right non-dominant side from V24 HCC 104
  • I69.934 Monoplegia of upper limb following unspecified cerebrovascular disease affecting left non-dominant side from V24 HCC 104
  • I69.939 Monoplegia of upper limb following unspecified cerebrovascular disease affecting unspecified side from V24 HCC 104
  • I69.941 Monoplegia of lower limb following unspecified cerebrovascular disease affecting right dominant side from V24 HCC 104
  • I69.942 Monoplegia of lower limb following unspecified cerebrovascular disease affecting left dominant side from V24 HCC 104
  • I69.943 Monoplegia of lower limb following unspecified cerebrovascular disease affecting right non-dominant side from V24 HCC 104
  • I69.944 Monoplegia of lower limb following unspecified cerebrovascular disease affecting left non-dominant side from V24 HCC 104
  • I69.949 Monoplegia of lower limb following unspecified cerebrovascular disease affecting unspecified side from V24 HCC 104
  • I69.961 Other paralytic syndrome following unspecified cerebrovascular disease affecting right dominant side from V24 HCC 104
  • I69.962 Other paralytic syndrome following unspecified cerebrovascular disease affecting left dominant side from V24 HCC 104
  • I69.963 Other paralytic syndrome following unspecified cerebrovascular disease affecting right non-dominant side from V24 HCC 104
  • I69.964 Other paralytic syndrome following unspecified cerebrovascular disease affecting left non-dominant side from V24 HCC 104
  • I69.965 Other paralytic syndrome following unspecified cerebrovascular disease, bilateral from V24 HCC 104
  • I69.969 Other paralytic syndrome following unspecified cerebrovascular disease affecting unspecified side from V24 HCC 104

Every code above carries the full HCC 254 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 254

What is HCC 254 in the CMS-HCC model?

HCC 254 is CMS-HCC Category 254 (Monoplegia, Other Paralytic Syndromes) in the V28 risk adjustment model. It covers 119 ICD-10-CM diagnosis codes that raise a Medicare Advantage beneficiary's risk score when documented.

What is the RAF weight for HCC 254?

For payment year 2026, HCC 254 adds 0.321 to the RAF score of a community, non-dual, aged beneficiary. The published weights range from 0.000 to 0.365 across the seven payment segments shown above.

Which categories supersede HCC 254?

HCC 180 (Quadriplegia), HCC 181 (Paraplegia), HCC 191 (Quadriplegic Cerebral Palsy), HCC 192 (Cerebral Palsy, Except Quadriplegic), and HCC 253 (Hemiplegia/Hemiparesis) sit above HCC 254 in the hierarchy: when a beneficiary has diagnoses in both, only the more severe category is paid.

Related References

All HCC CategoriesHCC 180 CodesHCC 181 CodesHCC 191 CodesHCC 192 CodesHCC 253 CodesV24 to V28: What ChangedICD-10-CM Code Lookup

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.