J42: Unspecified chronic bronchitis

• HCC 280Chronic Obstructive Pulmonary Disease, Inters...Coefficient 0.319 (CNA, PY2027)

• HCC 280 when age >= 18
• No V28 HCC unless age >= 18

• This code has a CMS age requirement: applies when age >= 18

This code has a CMS age requirement: applies when age >= 18. PY2027 2024 CMS-HCC (V28). Source: CMS 2027 Initial ICD-10-CM Mappings CSV (all models).

CMS published no community V24 for PY2027 (CMS CY2027 Rate Announcement p3 l6-8: the 2024 CMS-HCC model only; the 2027 Initial mappings carry no community V24 column)

• HCC 111Chronic Obstructive Pulmonary Disease
• HCC 112Fibrosis of Lung and Other Chronic Lung Disor...

Candidates: the category depends on member age or sex

• HCC 111: This code has a CMS age requirement: applies when age >= 18
• HCC 112: This code has a CMS age requirement: applies when age < 18

The CMS category depends on member age or sex: HCC 111 when age >= 18; HCC 112 when age < 18. PY2027 2023 ESRD (V24). Source: CMS 2027 Initial ICD-10-CM Mappings CSV (all models).

• HCC 229Chronic Obstructive Pulmonary Disease, Bronch...Coefficient 0.17 (MA-PD CE non-low aged, PY2027)

• HCC 111Chronic Obstructive Pulmonary Disease
• HCC 112Fibrosis of Lung and Other Chronic Lung Disor...

Candidates: the category depends on member age or sex

• HCC 111: This code has a CMS age requirement: applies when age >= 18
• HCC 112: This code has a CMS age requirement: applies when age < 18

The CMS category depends on member age or sex: HCC 111 when age >= 18; HCC 112 when age < 18. PACE component. PY2027 PACE risk score = 50% 2017 CMS-HCC (V22) + 50% 2024 CMS-HCC (V28); ESRD = 50% 2019 ESRD (V21) + 50% 2023 ESRD (V24) (CMS CY2027 Rate Announcement). Source: CMS 2027 Initial ICD-10-CM Mappings CSV (all models).

• HCC 111Chronic Obstructive Pulmonary Disease
• HCC 112Fibrosis of Lung and Other Chronic Lung Disor...

Candidates: the category depends on member age or sex

• HCC 111: This code has a CMS age requirement: applies when age >= 18
• HCC 112: This code has a CMS age requirement: applies when age < 18

The CMS category depends on member age or sex: HCC 111 when age >= 18; HCC 112 when age < 18. PACE component. PY2027 PACE risk score = 50% 2017 CMS-HCC (V22) + 50% 2024 CMS-HCC (V28); ESRD = 50% 2019 ESRD (V21) + 50% 2023 ESRD (V24) (CMS CY2027 Rate Announcement). Source: CMS 2027 Initial ICD-10-CM Mappings CSV (all models).

• HCC 229Chronic Obstructive Pulmonary Disease, Bronch...

Not published by CMS for PY2028. (No CY2028 Advance Notice or Rate Announcement on cms.gov as of 2026-11-02)

Not published by CMS for PY2028. (No CY2028 Advance Notice or Rate Announcement on cms.gov as of 2026-11-02)

Not published by CMS for PY2028. (No CY2028 Advance Notice or Rate Announcement on cms.gov as of 2026-11-02)

Not published by CMS for PY2028. (No CY2028 Advance Notice or Rate Announcement on cms.gov as of 2026-11-02)

Not published by CMS for PY2028. (No CY2028 Advance Notice or Rate Announcement on cms.gov as of 2026-11-02)

Not published by CMS for PY2028. (No CY2028 Advance Notice or Rate Announcement on cms.gov as of 2026-11-02)

Not published by CMS for PY2028. (No CY2028 Advance Notice or Rate Announcement on cms.gov as of 2026-11-02)

CMS has not published FY2027 code validity for BY2026 HHS-HCC (Table 3 update pending). Mapping pending. (CMS CY2026 DIY instructions p8 l39-45: FY2027 code information for October 1 to December 31, 2026 service dates is not in Table 3 yet; valid_ICD10_2027 is blank on all 12,667 rows)

Not published by CMS for BY2027. (CMS-9883-F (2026-05-15) finalizes BY2027 factors (NBPP 2027 p53 l17-21); CMS has posted no BY2027 DIY Table 3 as of 2026-11-02)