CMS-HCC Risk Adjustment · Retired V24 Model 119 Codes

V24 HCC 104 (Archived Category) ICD-10-CM

HCC 104 is a payment category of the retired CMS-HCC V24 model, which last determined Medicare Advantage payment in 2025. The 119 ICD-10-CM codes below are its final mappings, kept for lookback analysis and RADV audit reference. Each code shows where it maps in the live V28 model.

✗ Retired model · not used for current Medicare Advantage paymentLast paid PY 2025 · kept for lookback and RADV reference
119
ICD-10-CM Codes
119
Still Risk-Adjust in V28
0
No V28 Successor
PY 2025
Last Paid Year
CMS-HCC V24

Archived Codes of V24 HCC 104 119 codes

119 of 119 shown
  • G83.0 Diplegia of upper limbs now HCC 254
  • G83.10 Monoplegia of lower limb affecting unspecified side now HCC 254
  • G83.11 Monoplegia of lower limb affecting right dominant side now HCC 254
  • G83.12 Monoplegia of lower limb affecting left dominant side now HCC 254
  • G83.13 Monoplegia of lower limb affecting right nondominant side now HCC 254
  • G83.14 Monoplegia of lower limb affecting left nondominant side now HCC 254
  • G83.20 Monoplegia of upper limb affecting unspecified side now HCC 254
  • G83.21 Monoplegia of upper limb affecting right dominant side now HCC 254
  • G83.22 Monoplegia of upper limb affecting left dominant side now HCC 254
  • G83.23 Monoplegia of upper limb affecting right nondominant side now HCC 254
  • G83.24 Monoplegia of upper limb affecting left nondominant side now HCC 254
  • G83.30 Monoplegia, unspecified affecting unspecified side now HCC 254
  • G83.31 Monoplegia, unspecified affecting right dominant side now HCC 254
  • G83.32 Monoplegia, unspecified affecting left dominant side now HCC 254
  • G83.33 Monoplegia, unspecified affecting right nondominant side now HCC 254
  • G83.34 Monoplegia, unspecified affecting left nondominant side now HCC 254
  • G83.5 Locked-in state now HCC 254
  • G83.81 Brown-Sequard syndrome now HCC 254
  • G83.82 Anterior cord syndrome now HCC 254
  • G83.83 Posterior cord syndrome now HCC 254
  • G83.84 Todd's paralysis (postepileptic) now HCC 254
  • G83.89 Other specified paralytic syndromes now HCC 254
  • G83.9 Paralytic syndrome, unspecified now HCC 254
  • I69.031 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right dominant side now HCC 254
  • I69.032 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left dominant side now HCC 254
  • I69.033 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side now HCC 254
  • I69.034 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side now HCC 254
  • I69.039 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting unspecified side now HCC 254
  • I69.041 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right dominant side now HCC 254
  • I69.042 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left dominant side now HCC 254
  • I69.043 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side now HCC 254
  • I69.044 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side now HCC 254
  • I69.049 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting unspecified side now HCC 254
  • I69.061 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting right dominant side now HCC 254
  • I69.062 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left dominant side now HCC 254
  • I69.063 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting right non-dominant side now HCC 254
  • I69.064 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left non-dominant side now HCC 254
  • I69.065 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage, bilateral now HCC 254
  • I69.069 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting unspecified side now HCC 254
  • I69.131 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right dominant side now HCC 254
  • I69.132 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left dominant side now HCC 254
  • I69.133 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side now HCC 254
  • I69.134 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side now HCC 254
  • I69.139 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting unspecified side now HCC 254
  • I69.141 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right dominant side now HCC 254
  • I69.142 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side now HCC 254
  • I69.143 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side now HCC 254
  • I69.144 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side now HCC 254
  • I69.149 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting unspecified side now HCC 254
  • I69.161 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right dominant side now HCC 254
  • I69.162 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left dominant side now HCC 254
  • I69.163 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right non-dominant side now HCC 254
  • I69.164 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left non-dominant side now HCC 254
  • I69.165 Other paralytic syndrome following nontraumatic intracerebral hemorrhage, bilateral now HCC 254
  • I69.169 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting unspecified side now HCC 254
  • I69.231 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right dominant side now HCC 254
  • I69.232 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left dominant side now HCC 254
  • I69.233 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side now HCC 254
  • I69.234 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side now HCC 254
  • I69.239 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting unspecified side now HCC 254
  • I69.241 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right dominant side now HCC 254
  • I69.242 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left dominant side now HCC 254
  • I69.243 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side now HCC 254
  • I69.244 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side now HCC 254
  • I69.249 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting unspecified side now HCC 254
  • I69.261 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right dominant side now HCC 254
  • I69.262 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left dominant side now HCC 254
  • I69.263 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right non-dominant side now HCC 254
  • I69.264 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left non-dominant side now HCC 254
  • I69.265 Other paralytic syndrome following other nontraumatic intracranial hemorrhage, bilateral now HCC 254
  • I69.269 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting unspecified side now HCC 254
  • I69.331 Monoplegia of upper limb following cerebral infarction affecting right dominant side now HCC 254
  • I69.332 Monoplegia of upper limb following cerebral infarction affecting left dominant side now HCC 254
  • I69.333 Monoplegia of upper limb following cerebral infarction affecting right non-dominant side now HCC 254
  • I69.334 Monoplegia of upper limb following cerebral infarction affecting left non-dominant side now HCC 254
  • I69.339 Monoplegia of upper limb following cerebral infarction affecting unspecified side now HCC 254
  • I69.341 Monoplegia of lower limb following cerebral infarction affecting right dominant side now HCC 254
  • I69.342 Monoplegia of lower limb following cerebral infarction affecting left dominant side now HCC 254
  • I69.343 Monoplegia of lower limb following cerebral infarction affecting right non-dominant side now HCC 254
  • I69.344 Monoplegia of lower limb following cerebral infarction affecting left non-dominant side now HCC 254
  • I69.349 Monoplegia of lower limb following cerebral infarction affecting unspecified side now HCC 254
  • I69.361 Other paralytic syndrome following cerebral infarction affecting right dominant side now HCC 254
  • I69.362 Other paralytic syndrome following cerebral infarction affecting left dominant side now HCC 254
  • I69.363 Other paralytic syndrome following cerebral infarction affecting right non-dominant side now HCC 254
  • I69.364 Other paralytic syndrome following cerebral infarction affecting left non-dominant side now HCC 254
  • I69.365 Other paralytic syndrome following cerebral infarction, bilateral now HCC 254
  • I69.369 Other paralytic syndrome following cerebral infarction affecting unspecified side now HCC 254
  • I69.831 Monoplegia of upper limb following other cerebrovascular disease affecting right dominant side now HCC 254
  • I69.832 Monoplegia of upper limb following other cerebrovascular disease affecting left dominant side now HCC 254
  • I69.833 Monoplegia of upper limb following other cerebrovascular disease affecting right non-dominant side now HCC 254
  • I69.834 Monoplegia of upper limb following other cerebrovascular disease affecting left non-dominant side now HCC 254
  • I69.839 Monoplegia of upper limb following other cerebrovascular disease affecting unspecified side now HCC 254
  • I69.841 Monoplegia of lower limb following other cerebrovascular disease affecting right dominant side now HCC 254
  • I69.842 Monoplegia of lower limb following other cerebrovascular disease affecting left dominant side now HCC 254
  • I69.843 Monoplegia of lower limb following other cerebrovascular disease affecting right non-dominant side now HCC 254
  • I69.844 Monoplegia of lower limb following other cerebrovascular disease affecting left non-dominant side now HCC 254
  • I69.849 Monoplegia of lower limb following other cerebrovascular disease affecting unspecified side now HCC 254
  • I69.861 Other paralytic syndrome following other cerebrovascular disease affecting right dominant side now HCC 254
  • I69.862 Other paralytic syndrome following other cerebrovascular disease affecting left dominant side now HCC 254
  • I69.863 Other paralytic syndrome following other cerebrovascular disease affecting right non-dominant side now HCC 254
  • I69.864 Other paralytic syndrome following other cerebrovascular disease affecting left non-dominant side now HCC 254
  • I69.865 Other paralytic syndrome following other cerebrovascular disease, bilateral now HCC 254
  • I69.869 Other paralytic syndrome following other cerebrovascular disease affecting unspecified side now HCC 254
  • I69.931 Monoplegia of upper limb following unspecified cerebrovascular disease affecting right dominant side now HCC 254
  • I69.932 Monoplegia of upper limb following unspecified cerebrovascular disease affecting left dominant side now HCC 254
  • I69.933 Monoplegia of upper limb following unspecified cerebrovascular disease affecting right non-dominant side now HCC 254
  • I69.934 Monoplegia of upper limb following unspecified cerebrovascular disease affecting left non-dominant side now HCC 254
  • I69.939 Monoplegia of upper limb following unspecified cerebrovascular disease affecting unspecified side now HCC 254
  • I69.941 Monoplegia of lower limb following unspecified cerebrovascular disease affecting right dominant side now HCC 254
  • I69.942 Monoplegia of lower limb following unspecified cerebrovascular disease affecting left dominant side now HCC 254
  • I69.943 Monoplegia of lower limb following unspecified cerebrovascular disease affecting right non-dominant side now HCC 254
  • I69.944 Monoplegia of lower limb following unspecified cerebrovascular disease affecting left non-dominant side now HCC 254
  • I69.949 Monoplegia of lower limb following unspecified cerebrovascular disease affecting unspecified side now HCC 254
  • I69.961 Other paralytic syndrome following unspecified cerebrovascular disease affecting right dominant side now HCC 254
  • I69.962 Other paralytic syndrome following unspecified cerebrovascular disease affecting left dominant side now HCC 254
  • I69.963 Other paralytic syndrome following unspecified cerebrovascular disease affecting right non-dominant side now HCC 254
  • I69.964 Other paralytic syndrome following unspecified cerebrovascular disease affecting left non-dominant side now HCC 254
  • I69.965 Other paralytic syndrome following unspecified cerebrovascular disease, bilateral now HCC 254
  • I69.969 Other paralytic syndrome following unspecified cerebrovascular disease affecting unspecified side now HCC 254

Questions About This Archived Category

Is V24 HCC 104 still paid?

No. The CMS-HCC V24 model last determined Medicare Advantage payment in 2025; from payment year 2026 the V28 model pays 100% of the risk score. This page exists for lookback analysis and RADV audit periods that predate the transition.

Where did these codes go in V28?

Each row above names the code's live V28 category. The category-level picture, with destination counts for every V24 category, is on V24 to V28: What Changed.

Related References

CMS-HCC V24 ArchiveAll Live V28 CategoriesV24 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; CMS-HCC V24 from the last published V24 mappings, payment year 2025), applied to the FY 2026 ICD-10-CM code set. ICD List is not affiliated with CMS.