October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

B25 Cytomegaloviral disease

All 5 codes in the B25 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

5

Can lead a claim

5

Cannot lead a claim

0

What CMS assigns to B25

All 5 codes group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases. Comorbidity subgroups: 1 toward Other Disorders of the Liver; 1 toward Pancreatitis, Cholelithiasis and Cholecystitis; 1 toward Whooping Cough and Pneumonia; 2 are assigned none. Every code can lead a claim.

  • Other Disorders of the Liver
  • Pancreatitis, Cholelithiasis and Cholecystitis
  • Whooping Cough and Pneumonia: counts toward the high comorbidity tier only in an interaction pair.

Every code in B25

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
B25.0Cytomegaloviral pneumonitisCan lead a claimKWhooping Cough and Pneumonia
B25.1Cytomegaloviral hepatitisCan lead a claimKOther Disorders of the Liver
B25.2Cytomegaloviral pancreatitisCan lead a claimKPancreatitis, Cholelithiasis and Cholecystitis
B25.8Other cytomegaloviral diseasesCan lead a claimKNone
B25.9Cytomegaloviral disease, unspecifiedCan lead a claimKNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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