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

B42 Sporotrichosis

All 7 codes in the B42 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

7

Can lead a claim

7

Cannot lead a claim

0

What CMS assigns to B42

All 7 codes group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases. None of the 7 is assigned a comorbidity subgroup. Every code can lead a claim.

Every code in B42

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
B42.0Pulmonary sporotrichosisCan lead a claimKNone
B42.1Lymphocutaneous sporotrichosisCan lead a claimKNone
B42.7Disseminated sporotrichosisCan lead a claimKNone
B42.8 Other forms of sporotrichosis
B42.81Cerebral sporotrichosisCan lead a claimKNone
B42.82Sporotrichosis arthritisCan lead a claimKNone
B42.89Other forms of sporotrichosisCan lead a claimKNone
B42.9Sporotrichosis, 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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