Chronic pulmonary blastomycosis
CMS-HCC V24
HCC 115
RAF 0.130
ESRD/PACE
HCC 115
RAF 0.030
ACA/HHS
HCC 163
RAF Varies by metal level
Index trail
Chronic pulmonary blastomycosis
See Tabular List: B40.1
B40, Blastomycosis
B40.1, Chronic pulmonary blastomycosis
Selected code, source checked for the selected effective period
Not listed for this effective period.
Not listed for this effective period.
No Excludes 2 note is listed in this source payload.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this code in the selected Tabular payload.
Not listed for this code in the selected Tabular payload.
No laterality instruction is listed for this code in the selected Tabular payload.
Index trail
Chronic pulmonary blastomycosis
See Tabular List: B40.1
B40, Blastomycosis
B40.1, Chronic pulmonary blastomycosis
Selected code, source checked for the selected effective period
Not listed for this effective period.
Not listed for this effective period.
No Excludes 2 note is listed in this source payload.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this code in the selected Tabular payload.
Not listed for this code in the selected Tabular payload.
No laterality instruction is listed for this code in the selected Tabular payload.
HCC Mapping
RAF Value
Model Period
Source
Audit Caution
HCC mapping, RAF, MEAT, source trail, and audit caution stay in view.
V24
HCC 115
Pneumococcal Pneumonia, Empyema, Lung Abscess
RAF: 0.130
ESRD/PACE
HCC 115
Pneumococcal Pneumonia, Empyema, Lung Abscess
RAF: 0.030
HHS-HCC
HCC 163
HHS-HCC 163; HHS-HCC 2026 benefit year
RAF: Varies by metal level
MEAT checklist
Reviewed by the HCC Buddy Coding TeamMonitor, Evaluate, Assess, or Treat must be supported in the provider note.
HCC Buddy guidance, not official ICD-10-CM text.
Audit caution
Reviewed by the HCC Buddy Coding TeamClose codes need documentation support before selection. Do not assume relationships.
HCC Buddy guidance, not official ICD-10-CM text.
Reviewer sign-off
Reviewed by the HCC Buddy Coding TeamMEAT, documentation support, audit cautions, and close-code guidance are reviewed and approved for this effective period.
HCC Buddy enrichment is separate from official source text.
Chronic pulmonary blastomycosis
CMS-HCC V24
HCC 115
RAF 0.130
ESRD/PACE
HCC 115
RAF 0.030
ACA/HHS
HCC 163
RAF Varies by metal level
Code
B40.1
V28 HCC
Not mapped
RAF
source required
Add close codes to compare documentation differences.