HCC in Medical Billing: What It Means, How It Works & 2026 RAF Scoring Guide

HCC Medical Abbreviation stands for Hierarchical Condition Category, a CMS risk adjustment model used to classify diagnoses based on severity. HCC coding maps ICD-10 codes to categories that contribute to RAF scores and identify chronic conditions like diabetes, heart failure, COPD, and CKD.
Hierarchical Condition Category (HCC): RAF Scores & Risk Models

Hierarchical Condition Category (HCC) coding directly affects RAF scores and healthcare reimbursements. Understand how accurate coding ensures better funding and smarter patient care strategies.