CMS-HCC Risk Adjustment · Retired V24 Model 116 Codes

V24 HCC 54 (Archived Category) ICD-10-CM

HCC 54 is a payment category of the retired CMS-HCC V24 model, which last determined Medicare Advantage payment in 2025. The 116 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
116
ICD-10-CM Codes
116
Still Risk-Adjust in V28
0
No V28 Successor
PY 2025
Last Paid Year
CMS-HCC V24

Archived Codes of V24 HCC 54 116 codes

116 of 116 shown
  • F10.131 Alcohol abuse with withdrawal delirium now HCC 136
  • F10.132 Alcohol abuse with withdrawal with perceptual disturbance now HCC 136
  • F10.150 Alcohol abuse with alcohol-induced psychotic disorder with delusions now HCC 136
  • F10.151 Alcohol abuse with alcohol-induced psychotic disorder with hallucinations now HCC 136
  • F10.159 Alcohol abuse with alcohol-induced psychotic disorder, unspecified now HCC 136
  • F10.231 Alcohol dependence with withdrawal delirium now HCC 136
  • F10.232 Alcohol dependence with withdrawal with perceptual disturbance now HCC 136
  • F10.250 Alcohol dependence with alcohol-induced psychotic disorder with delusions now HCC 136
  • F10.251 Alcohol dependence with alcohol-induced psychotic disorder with hallucinations now HCC 136
  • F10.259 Alcohol dependence with alcohol-induced psychotic disorder, unspecified now HCC 136
  • F10.26 Alcohol dependence with alcohol-induced persisting amnestic disorder now HCC 136
  • F10.27 Alcohol dependence with alcohol-induced persisting dementia now HCC 136
  • F10.931 Alcohol use, unspecified with withdrawal delirium now HCC 136
  • F10.932 Alcohol use, unspecified with withdrawal with perceptual disturbance now HCC 136
  • F10.950 Alcohol use, unspecified with alcohol-induced psychotic disorder with delusions now HCC 136
  • F10.951 Alcohol use, unspecified with alcohol-induced psychotic disorder with hallucinations now HCC 136
  • F10.959 Alcohol use, unspecified with alcohol-induced psychotic disorder, unspecified now HCC 136
  • F10.96 Alcohol use, unspecified with alcohol-induced persisting amnestic disorder now HCC 136
  • F10.97 Alcohol use, unspecified with alcohol-induced persisting dementia now HCC 136
  • F11.150 Opioid abuse with opioid-induced psychotic disorder with delusions now HCC 135
  • F11.151 Opioid abuse with opioid-induced psychotic disorder with hallucinations now HCC 135
  • F11.159 Opioid abuse with opioid-induced psychotic disorder, unspecified now HCC 135
  • F11.250 Opioid dependence with opioid-induced psychotic disorder with delusions now HCC 135
  • F11.251 Opioid dependence with opioid-induced psychotic disorder with hallucinations now HCC 135
  • F11.259 Opioid dependence with opioid-induced psychotic disorder, unspecified now HCC 135
  • F11.950 Opioid use, unspecified with opioid-induced psychotic disorder with delusions now HCC 135
  • F11.951 Opioid use, unspecified with opioid-induced psychotic disorder with hallucinations now HCC 135
  • F11.959 Opioid use, unspecified with opioid-induced psychotic disorder, unspecified now HCC 135
  • F12.150 Cannabis abuse with psychotic disorder with delusions now HCC 135
  • F12.151 Cannabis abuse with psychotic disorder with hallucinations now HCC 135
  • F12.159 Cannabis abuse with psychotic disorder, unspecified now HCC 135
  • F12.250 Cannabis dependence with psychotic disorder with delusions now HCC 135
  • F12.251 Cannabis dependence with psychotic disorder with hallucinations now HCC 135
  • F12.259 Cannabis dependence with psychotic disorder, unspecified now HCC 135
  • F12.950 Cannabis use, unspecified with psychotic disorder with delusions now HCC 135
  • F12.951 Cannabis use, unspecified with psychotic disorder with hallucinations now HCC 135
  • F12.959 Cannabis use, unspecified with psychotic disorder, unspecified now HCC 135
  • F13.131 Sedative, hypnotic or anxiolytic abuse with withdrawal delirium now HCC 135
  • F13.132 Sedative, hypnotic or anxiolytic abuse with withdrawal with perceptual disturbance now HCC 135
  • F13.150 Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions now HCC 135
  • F13.151 Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations now HCC 135
  • F13.159 Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified now HCC 135
  • F13.231 Sedative, hypnotic or anxiolytic dependence with withdrawal delirium now HCC 135
  • F13.232 Sedative, hypnotic or anxiolytic dependence with withdrawal with perceptual disturbance now HCC 135
  • F13.250 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions now HCC 135
  • F13.251 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations now HCC 135
  • F13.259 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified now HCC 135
  • F13.26 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced persisting amnestic disorder now HCC 135
  • F13.27 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced persisting dementia now HCC 135
  • F13.931 Sedative, hypnotic or anxiolytic use, unspecified with withdrawal delirium now HCC 135
  • F13.932 Sedative, hypnotic or anxiolytic use, unspecified with withdrawal with perceptual disturbances now HCC 135
  • F13.950 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions now HCC 135
  • F13.951 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations now HCC 135
  • F13.959 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified now HCC 135
  • F13.96 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced persisting amnestic disorder now HCC 135
  • F13.97 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced persisting dementia now HCC 135
  • F14.150 Cocaine abuse with cocaine-induced psychotic disorder with delusions now HCC 135
  • F14.151 Cocaine abuse with cocaine-induced psychotic disorder with hallucinations now HCC 135
  • F14.159 Cocaine abuse with cocaine-induced psychotic disorder, unspecified now HCC 135
  • F14.250 Cocaine dependence with cocaine-induced psychotic disorder with delusions now HCC 135
  • F14.251 Cocaine dependence with cocaine-induced psychotic disorder with hallucinations now HCC 135
  • F14.259 Cocaine dependence with cocaine-induced psychotic disorder, unspecified now HCC 135
  • F14.950 Cocaine use, unspecified with cocaine-induced psychotic disorder with delusions now HCC 135
  • F14.951 Cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations now HCC 135
  • F14.959 Cocaine use, unspecified with cocaine-induced psychotic disorder, unspecified now HCC 135
  • F15.150 Other stimulant abuse with stimulant-induced psychotic disorder with delusions now HCC 135
  • F15.151 Other stimulant abuse with stimulant-induced psychotic disorder with hallucinations now HCC 135
  • F15.159 Other stimulant abuse with stimulant-induced psychotic disorder, unspecified now HCC 135
  • F15.250 Other stimulant dependence with stimulant-induced psychotic disorder with delusions now HCC 135
  • F15.251 Other stimulant dependence with stimulant-induced psychotic disorder with hallucinations now HCC 135
  • F15.259 Other stimulant dependence with stimulant-induced psychotic disorder, unspecified now HCC 135
  • F15.950 Other stimulant use, unspecified with stimulant-induced psychotic disorder with delusions now HCC 135
  • F15.951 Other stimulant use, unspecified with stimulant-induced psychotic disorder with hallucinations now HCC 135
  • F15.959 Other stimulant use, unspecified with stimulant-induced psychotic disorder, unspecified now HCC 135
  • F16.150 Hallucinogen abuse with hallucinogen-induced psychotic disorder with delusions now HCC 135
  • F16.151 Hallucinogen abuse with hallucinogen-induced psychotic disorder with hallucinations now HCC 135
  • F16.159 Hallucinogen abuse with hallucinogen-induced psychotic disorder, unspecified now HCC 135
  • F16.250 Hallucinogen dependence with hallucinogen-induced psychotic disorder with delusions now HCC 135
  • F16.251 Hallucinogen dependence with hallucinogen-induced psychotic disorder with hallucinations now HCC 135
  • F16.259 Hallucinogen dependence with hallucinogen-induced psychotic disorder, unspecified now HCC 135
  • F16.950 Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder with delusions now HCC 135
  • F16.951 Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder with hallucinations now HCC 135
  • F16.959 Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder, unspecified now HCC 135
  • F18.150 Inhalant abuse with inhalant-induced psychotic disorder with delusions now HCC 135
  • F18.151 Inhalant abuse with inhalant-induced psychotic disorder with hallucinations now HCC 135
  • F18.159 Inhalant abuse with inhalant-induced psychotic disorder, unspecified now HCC 135
  • F18.17 Inhalant abuse with inhalant-induced dementia now HCC 135
  • F18.250 Inhalant dependence with inhalant-induced psychotic disorder with delusions now HCC 135
  • F18.251 Inhalant dependence with inhalant-induced psychotic disorder with hallucinations now HCC 135
  • F18.259 Inhalant dependence with inhalant-induced psychotic disorder, unspecified now HCC 135
  • F18.27 Inhalant dependence with inhalant-induced dementia now HCC 135
  • F18.950 Inhalant use, unspecified with inhalant-induced psychotic disorder with delusions now HCC 135
  • F18.951 Inhalant use, unspecified with inhalant-induced psychotic disorder with hallucinations now HCC 135
  • F18.959 Inhalant use, unspecified with inhalant-induced psychotic disorder, unspecified now HCC 135
  • F18.97 Inhalant use, unspecified with inhalant-induced persisting dementia now HCC 135
  • F19.131 Other psychoactive substance abuse with withdrawal delirium now HCC 135
  • F19.132 Other psychoactive substance abuse with withdrawal with perceptual disturbance now HCC 135
  • F19.150 Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with delusions now HCC 135
  • F19.151 Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with hallucinations now HCC 135
  • F19.159 Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder, unspecified now HCC 135
  • F19.16 Other psychoactive substance abuse with psychoactive substance-induced persisting amnestic disorder now HCC 135
  • F19.17 Other psychoactive substance abuse with psychoactive substance-induced persisting dementia now HCC 135
  • F19.231 Other psychoactive substance dependence with withdrawal delirium now HCC 135
  • F19.232 Other psychoactive substance dependence with withdrawal with perceptual disturbance now HCC 135
  • F19.250 Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with delusions now HCC 135
  • F19.251 Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with hallucinations now HCC 135
  • F19.259 Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder, unspecified now HCC 135
  • F19.26 Other psychoactive substance dependence with psychoactive substance-induced persisting amnestic disorder now HCC 135
  • F19.27 Other psychoactive substance dependence with psychoactive substance-induced persisting dementia now HCC 135
  • F19.931 Other psychoactive substance use, unspecified with withdrawal delirium now HCC 135
  • F19.932 Other psychoactive substance use, unspecified with withdrawal with perceptual disturbance now HCC 135
  • F19.950 Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder with delusions now HCC 135
  • F19.951 Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder with hallucinations now HCC 135
  • F19.959 Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder, unspecified now HCC 135
  • F19.96 Other psychoactive substance use, unspecified with psychoactive substance-induced persisting amnestic disorder now HCC 135
  • F19.97 Other psychoactive substance use, unspecified with psychoactive substance-induced persisting dementia now HCC 135

Questions About This Archived Category

Is V24 HCC 54 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.