CMS-HCC Risk Adjustment · Retired V24 Model 128 Codes

V24 HCC 122 (Archived Category) ICD-10-CM

HCC 122 is a payment category of the retired CMS-HCC V24 model, which last determined Medicare Advantage payment in 2025. The 128 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; 24 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
128
ICD-10-CM Codes
104
Still Risk-Adjust in V28
24
No V28 Successor
PY 2025
Last Paid Year
CMS-HCC V24

Archived Codes of V24 HCC 122 128 codes

128 of 128 shown
  • E08.3511 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, right eye now HCC 37 now HCC 298
  • E08.3512 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, left eye now HCC 37 now HCC 298
  • E08.3513 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, bilateral now HCC 37 now HCC 298
  • E08.3519 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, unspecified eye now HCC 37 now HCC 298
  • E08.3521 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye now HCC 37 now HCC 298
  • E08.3522 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye now HCC 37 now HCC 298
  • E08.3523 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral now HCC 37 now HCC 298
  • E08.3529 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye now HCC 37 now HCC 298
  • E08.3531 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye now HCC 37 now HCC 298
  • E08.3532 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye now HCC 37 now HCC 298
  • E08.3533 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral now HCC 37 now HCC 298
  • E08.3539 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye now HCC 37 now HCC 298
  • E08.3541 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye now HCC 37 now HCC 298
  • E08.3542 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye now HCC 37 now HCC 298
  • E08.3543 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral now HCC 37 now HCC 298
  • E08.3549 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye now HCC 37 now HCC 298
  • E08.3551 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, right eye now HCC 37 now HCC 298
  • E08.3552 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, left eye now HCC 37 now HCC 298
  • E08.3553 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, bilateral now HCC 37 now HCC 298
  • E08.3559 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, unspecified eye now HCC 37 now HCC 298
  • E08.3591 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, right eye now HCC 37 now HCC 298
  • E08.3592 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, left eye now HCC 37 now HCC 298
  • E08.3593 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, bilateral now HCC 37 now HCC 298
  • E08.3599 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, unspecified eye now HCC 37 now HCC 298
  • E09.3511 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye no V28 successor
  • E09.3512 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye no V28 successor
  • E09.3513 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral no V28 successor
  • E09.3519 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye no V28 successor
  • E09.3521 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye no V28 successor
  • E09.3522 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye no V28 successor
  • E09.3523 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral no V28 successor
  • E09.3529 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye no V28 successor
  • E09.3531 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye no V28 successor
  • E09.3532 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye no V28 successor
  • E09.3533 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral no V28 successor
  • E09.3539 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye no V28 successor
  • E09.3541 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye no V28 successor
  • E09.3542 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye no V28 successor
  • E09.3543 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral no V28 successor
  • E09.3549 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye no V28 successor
  • E09.3551 Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, right eye no V28 successor
  • E09.3552 Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, left eye no V28 successor
  • E09.3553 Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, bilateral no V28 successor
  • E09.3559 Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye no V28 successor
  • E09.3591 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye no V28 successor
  • E09.3592 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye no V28 successor
  • E09.3593 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral no V28 successor
  • E09.3599 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye no V28 successor
  • E10.3511 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye now HCC 37 now HCC 298
  • E10.3512 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye now HCC 37 now HCC 298
  • E10.3513 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral now HCC 37 now HCC 298
  • E10.3519 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye now HCC 37 now HCC 298
  • E10.3521 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye now HCC 37 now HCC 298
  • E10.3522 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye now HCC 37 now HCC 298
  • E10.3523 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral now HCC 37 now HCC 298
  • E10.3529 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye now HCC 37 now HCC 298
  • E10.3531 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye now HCC 37 now HCC 298
  • E10.3532 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye now HCC 37 now HCC 298
  • E10.3533 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral now HCC 37 now HCC 298
  • E10.3539 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye now HCC 37 now HCC 298
  • E10.3541 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye now HCC 37 now HCC 298
  • E10.3542 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye now HCC 37 now HCC 298
  • E10.3543 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral now HCC 37 now HCC 298
  • E10.3549 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye now HCC 37 now HCC 298
  • E10.3551 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, right eye now HCC 37 now HCC 298
  • E10.3552 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, left eye now HCC 37 now HCC 298
  • E10.3553 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral now HCC 37 now HCC 298
  • E10.3559 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye now HCC 37 now HCC 298
  • E10.3591 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye now HCC 37 now HCC 298
  • E10.3592 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye now HCC 37 now HCC 298
  • E10.3593 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral now HCC 37 now HCC 298
  • E10.3599 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye now HCC 37 now HCC 298
  • E11.3511 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye now HCC 37 now HCC 298
  • E11.3512 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye now HCC 37 now HCC 298
  • E11.3513 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral now HCC 37 now HCC 298
  • E11.3519 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye now HCC 37 now HCC 298
  • E11.3521 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye now HCC 37 now HCC 298
  • E11.3522 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye now HCC 37 now HCC 298
  • E11.3523 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral now HCC 37 now HCC 298
  • E11.3529 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye now HCC 37 now HCC 298
  • E11.3531 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye now HCC 37 now HCC 298
  • E11.3532 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye now HCC 37 now HCC 298
  • E11.3533 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral now HCC 37 now HCC 298
  • E11.3539 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye now HCC 37 now HCC 298
  • E11.3541 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye now HCC 37 now HCC 298
  • E11.3542 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye now HCC 37 now HCC 298
  • E11.3543 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral now HCC 37 now HCC 298
  • E11.3549 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye now HCC 37 now HCC 298
  • E11.3551 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eye now HCC 37 now HCC 298
  • E11.3552 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye now HCC 37 now HCC 298
  • E11.3553 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral now HCC 37 now HCC 298
  • E11.3559 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye now HCC 37 now HCC 298
  • E11.3591 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye now HCC 37 now HCC 298
  • E11.3592 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye now HCC 37 now HCC 298
  • E11.3593 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral now HCC 37 now HCC 298
  • E11.3599 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye now HCC 37 now HCC 298
  • E13.3511 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye now HCC 37 now HCC 298
  • E13.3512 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye now HCC 37 now HCC 298
  • E13.3513 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral now HCC 37 now HCC 298
  • E13.3519 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye now HCC 37 now HCC 298
  • E13.3521 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye now HCC 37 now HCC 298
  • E13.3522 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye now HCC 37 now HCC 298
  • E13.3523 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral now HCC 37 now HCC 298
  • E13.3529 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye now HCC 37 now HCC 298
  • E13.3531 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye now HCC 37 now HCC 298
  • E13.3532 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye now HCC 37 now HCC 298
  • E13.3533 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral now HCC 37 now HCC 298
  • E13.3539 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye now HCC 37 now HCC 298
  • E13.3541 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye now HCC 37 now HCC 298
  • E13.3542 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye now HCC 37 now HCC 298
  • E13.3543 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral now HCC 37 now HCC 298
  • E13.3549 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye now HCC 37 now HCC 298
  • E13.3551 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, right eye now HCC 37 now HCC 298
  • E13.3552 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, left eye now HCC 37 now HCC 298
  • E13.3553 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, bilateral now HCC 37 now HCC 298
  • E13.3559 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye now HCC 37 now HCC 298
  • E13.3591 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye now HCC 37 now HCC 298
  • E13.3592 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye now HCC 37 now HCC 298
  • E13.3593 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral now HCC 37 now HCC 298
  • E13.3599 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye now HCC 37 now HCC 298
  • H36.821 Proliferative sickle-cell retinopathy, right eye now HCC 108 now HCC 298
  • H36.822 Proliferative sickle-cell retinopathy, left eye now HCC 108 now HCC 298
  • H36.823 Proliferative sickle-cell retinopathy, bilateral now HCC 108 now HCC 298
  • H36.829 Proliferative sickle-cell retinopathy, unspecified eye now HCC 108 now HCC 298
  • H43.10 Vitreous hemorrhage, unspecified eye now HCC 298
  • H43.11 Vitreous hemorrhage, right eye now HCC 298
  • H43.12 Vitreous hemorrhage, left eye now HCC 298
  • H43.13 Vitreous hemorrhage, bilateral now HCC 298

Questions About This Archived Category

Is V24 HCC 122 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

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.