CMS-HCC Risk Adjustment · Retired V24 Model 32 Codes

V24 HCC 115 (Archived Category) ICD-10-CM

HCC 115 is a payment category of the retired CMS-HCC V24 model, which last determined Medicare Advantage payment in 2025. The 32 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; 25 of them no longer risk-adjust at all.

✗ Retired model · not used for current Medicare Advantage paymentLast paid PY 2025 · kept for lookback and RADV reference
32
ICD-10-CM Codes
7
Still Risk-Adjust in V28
25
No V28 Successor
PY 2025
Last Paid Year
CMS-HCC V24

Archived Codes of V24 HCC 115 32 codes

32 of 32 shown
  • A01.03 Typhoid pneumonia no V28 successor
  • A02.22 Salmonella pneumonia no V28 successor
  • A06.5 Amebic lung abscess now HCC 283
  • A20.2 Pneumonic plague no V28 successor
  • A21.2 Pulmonary tularemia no V28 successor
  • A22.1 Pulmonary anthrax no V28 successor
  • A42.0 Pulmonary actinomycosis no V28 successor
  • A43.0 Pulmonary nocardiosis no V28 successor
  • A54.84 Gonococcal pneumonia no V28 successor
  • B38.0 Acute pulmonary coccidioidomycosis no V28 successor
  • B38.1 Chronic pulmonary coccidioidomycosis no V28 successor
  • B38.2 Pulmonary coccidioidomycosis, unspecified no V28 successor
  • B39.0 Acute pulmonary histoplasmosis capsulati no V28 successor
  • B39.1 Chronic pulmonary histoplasmosis capsulati no V28 successor
  • B39.2 Pulmonary histoplasmosis capsulati, unspecified no V28 successor
  • B40.0 Acute pulmonary blastomycosis no V28 successor
  • B40.1 Chronic pulmonary blastomycosis no V28 successor
  • B40.2 Pulmonary blastomycosis, unspecified no V28 successor
  • B41.0 Pulmonary paracoccidioidomycosis no V28 successor
  • B66.4 Paragonimiasis no V28 successor
  • B67.1 Echinococcus granulosus infection of lung no V28 successor
  • J13 Pneumonia due to Streptococcus pneumoniae no V28 successor
  • J14 Pneumonia due to Hemophilus influenzae no V28 successor
  • J15.3 Pneumonia due to streptococcus, group B no V28 successor
  • J15.4 Pneumonia due to other streptococci no V28 successor
  • J18.1 Lobar pneumonia, unspecified organism no V28 successor
  • J85.0 Gangrene and necrosis of lung now HCC 283
  • J85.1 Abscess of lung with pneumonia now HCC 283
  • J85.2 Abscess of lung without pneumonia now HCC 283
  • J85.3 Abscess of mediastinum now HCC 283
  • J86.0 Pyothorax with fistula now HCC 283
  • J86.9 Pyothorax without fistula now HCC 283

Questions About This Archived Category

Is V24 HCC 115 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, or marks it as having no V28 successor. The category-level picture, with destination counts for every V24 category, is on V24 to V28: What Changed.

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. ICD List is not affiliated with CMS.