HCC 382: Pressure Ulcer of Skin with Partial Thickness Skin Loss ICD-10-CM
CMS-HCC Category 382 (Pressure Ulcer of Skin with Partial Thickness Skin Loss) is a payment HCC in the V28 Medicare Advantage risk adjustment model. For payment year 2026 it adds a risk adjustment factor between 0.343 and 1.029 to a beneficiary's RAF score depending on the payment segment (0.838 for a community, non-dual, aged enrollee). 25 ICD-10-CM diagnosis codes map to HCC 382. A more severe related category (HCC 379, HCC 380, and HCC 381) supersedes it when both are reported.
RAF Weight by Payment Segment 7 segments
| Payment Segment | Relative Factor |
|---|---|
| Community, non-dual, aged | 0.838 |
| Community, partial-benefit dual, aged | 0.845 |
| Community, full-benefit dual, aged | 1.029 |
| Community, non-dual, disabled | 0.994 |
| Community, partial-benefit dual, disabled | 0.937 |
| Community, full-benefit dual, disabled | 0.935 |
| Institutional | 0.343 |
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 379 (Pressure Ulcer of Skin with Necrosis Through to Muscle, Tendon, or Bone), HCC 380 (Chronic Ulcer of Skin, Except Pressure, Through to Bone or Muscle), and HCC 381 (Pressure Ulcer of Skin with Full Thickness Skin Loss) supersede HCC 382 when reported together. HCC 382 in turn supersedes HCC 383 (Chronic Ulcer of Skin, Except Pressure, Not Specified as Through to Bone or Muscle).
ICD-10-CM Codes That Map to HCC 382 25 codes
- L89.002 Pressure ulcer of unspecified elbow, stage 2 from V24 HCC 159
- L89.012 Pressure ulcer of right elbow, stage 2 from V24 HCC 159
- L89.022 Pressure ulcer of left elbow, stage 2 from V24 HCC 159
- L89.102 Pressure ulcer of unspecified part of back, stage 2 from V24 HCC 159
- L89.112 Pressure ulcer of right upper back, stage 2 from V24 HCC 159
- L89.122 Pressure ulcer of left upper back, stage 2 from V24 HCC 159
- L89.132 Pressure ulcer of right lower back, stage 2 from V24 HCC 159
- L89.142 Pressure ulcer of left lower back, stage 2 from V24 HCC 159
- L89.152 Pressure ulcer of sacral region, stage 2 from V24 HCC 159
- L89.202 Pressure ulcer of unspecified hip, stage 2 from V24 HCC 159
- L89.212 Pressure ulcer of right hip, stage 2 from V24 HCC 159
- L89.222 Pressure ulcer of left hip, stage 2 from V24 HCC 159
- L89.302 Pressure ulcer of unspecified buttock, stage 2 from V24 HCC 159
- L89.312 Pressure ulcer of right buttock, stage 2 from V24 HCC 159
- L89.322 Pressure ulcer of left buttock, stage 2 from V24 HCC 159
- L89.42 Pressure ulcer of contiguous site of back, buttock and hip, stage 2 from V24 HCC 159
- L89.502 Pressure ulcer of unspecified ankle, stage 2 from V24 HCC 159
- L89.512 Pressure ulcer of right ankle, stage 2 from V24 HCC 159
- L89.522 Pressure ulcer of left ankle, stage 2 from V24 HCC 159
- L89.602 Pressure ulcer of unspecified heel, stage 2 from V24 HCC 159
- L89.612 Pressure ulcer of right heel, stage 2 from V24 HCC 159
- L89.622 Pressure ulcer of left heel, stage 2 from V24 HCC 159
- L89.812 Pressure ulcer of head, stage 2 from V24 HCC 159
- L89.892 Pressure ulcer of other site, stage 2 from V24 HCC 159
- L89.92 Pressure ulcer of unspecified site, stage 2 from V24 HCC 159
Every code above carries the full HCC 382 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 382
What is HCC 382 in the CMS-HCC model?
HCC 382 is CMS-HCC Category 382 (Pressure Ulcer of Skin with Partial Thickness Skin Loss) in the V28 risk adjustment model. It covers 25 ICD-10-CM diagnosis codes that raise a Medicare Advantage beneficiary's risk score when documented.
What is the RAF weight for HCC 382?
For payment year 2026, HCC 382 adds 0.838 to the RAF score of a community, non-dual, aged beneficiary. The published weights range from 0.343 to 1.029 across the seven payment segments shown above.
Which categories supersede HCC 382?
HCC 379 (Pressure Ulcer of Skin with Necrosis Through to Muscle, Tendon, or Bone), HCC 380 (Chronic Ulcer of Skin, Except Pressure, Through to Bone or Muscle), and HCC 381 (Pressure Ulcer of Skin with Full Thickness Skin Loss) sit above HCC 382 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.
