CMS-HCC V24 Model Archive ICD-10-CM
The CMS-HCC V24 model paid Medicare Advantage risk scores through payment year 2025 and was retired when V28 took over 100% of payment in 2026. Its 86 payment categories and 10,211 diagnosis mappings stay browsable here for lookback analysis and RADV audit periods that predate the transition. Each category links to its archived code list and to the live V28 categories its codes moved to; for the change story, see V24 to V28: What Changed.
All 86 V24 Categories 10,211 code mappings
Counts reflect the model's last paid year (payment year 2025). Successor chips open the live V28 category pages.
Questions About the V24 Archive
Is CMS-HCC V24 still used for anything?
Not for Medicare Advantage payment: V28 determines 100% of the MA risk score from payment year 2026. V24 remains relevant for lookback analysis, RADV audit periods that predate the transition, and the related V22 model still pays PACE organizations.
Why do V24 and V28 category numbers disagree?
V28 renumbered the model almost completely; only a handful of diagnosis codes kept the same category number. "HCC 18" means diabetes in V24 but a cancer category in V28, which is why the archive lives under its own URLs instead of sharing the live pages.
What years does this archive cover?
The mappings shown are the final V24 payment mappings, as published for payment year 2025, the model's last year determining any share of Medicare Advantage payment.
Official Sources
- CMS Risk Adjustment ICD-10-CM MappingsThe category tables and every code-to-HCC mapping on ICD List come from the published mapping files.
- CMS-HCC Model SoftwareSource of all RAF weights, category labels, and hierarchy rules, including the PACE, ESRD, and RxHCC models.
ICD List is not affiliated with CMS. This page is a coding and payment reference, not medical or actuarial advice.
Related References
Source: Centers for Medicare & Medicaid Services, Payment Year 2026 risk adjustment mapping and model software releases (CMS-HCC V28; CMS-HCC V24 from the last published V24 mappings, payment year 2025), applied to the FY 2026 ICD-10-CM code set.
