CMS-HCC Risk Adjustment · Retired V24 Model 27 Codes

V24 HCC 84 (Archived Category) ICD-10-CM

HCC 84 is a payment category of the retired CMS-HCC V24 model, which last determined Medicare Advantage payment in 2025. The 27 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; 6 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
27
ICD-10-CM Codes
21
Still Risk-Adjust in V28
6
No V28 Successor
PY 2025
Last Paid Year
CMS-HCC V24

Archived Codes of V24 HCC 84 27 codes

27 of 27 shown
  • I46.2 Cardiac arrest due to underlying cardiac condition now HCC 213
  • I46.8 Cardiac arrest due to other underlying condition now HCC 213
  • I46.9 Cardiac arrest, cause unspecified now HCC 213
  • I49.01 Ventricular fibrillation now HCC 213
  • I49.02 Ventricular flutter now HCC 213
  • J80 Acute respiratory distress syndrome now HCC 213
  • J81.0 Acute pulmonary edema now HCC 213
  • J95.1 Acute pulmonary insufficiency following thoracic surgery no V28 successor
  • J95.2 Acute pulmonary insufficiency following nonthoracic surgery no V28 successor
  • J95.3 Chronic pulmonary insufficiency following surgery no V28 successor
  • J95.821 Acute postprocedural respiratory failure no V28 successor
  • J95.822 Acute and chronic postprocedural respiratory failure no V28 successor
  • J96.00 Acute respiratory failure, unspecified whether with hypoxia or hypercapnia now HCC 213
  • J96.01 Acute respiratory failure with hypoxia now HCC 213
  • J96.02 Acute respiratory failure with hypercapnia now HCC 213
  • J96.10 Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia now HCC 213
  • J96.11 Chronic respiratory failure with hypoxia now HCC 213
  • J96.12 Chronic respiratory failure with hypercapnia now HCC 213
  • J96.20 Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia now HCC 213
  • J96.21 Acute and chronic respiratory failure with hypoxia now HCC 213
  • J96.22 Acute and chronic respiratory failure with hypercapnia now HCC 213
  • J96.90 Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia now HCC 213
  • J96.91 Respiratory failure, unspecified with hypoxia now HCC 213
  • J96.92 Respiratory failure, unspecified with hypercapnia now HCC 213
  • R57.0 Cardiogenic shock now HCC 213
  • R57.9 Shock, unspecified now HCC 213
  • T81.11XA Postprocedural cardiogenic shock, initial encounter no V28 successor

Questions About This Archived Category

Is V24 HCC 84 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.