ICD-10 · PDGM grouping
C25 Malignant neoplasm of pancreas
All 8 codes in the C25 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.
Codes in family
8
Can lead a claim
8
Cannot lead a claim
0
What CMS assigns to C25
All 8 codes group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases. All 8 count toward the Malignant Neoplasm of Pancreas, Peritoneum and Retroperitoneum comorbidity subgroup. Every code can lead a claim.
- Malignant Neoplasm of Pancreas, Peritoneum and Retroperitoneum
Every code in C25
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| C25.0 | Malignant neoplasm of head of pancreas | Can lead a claim | K | Malignant Neoplasm of Pancreas, Peritoneum and Retroperitoneum |
| C25.1 | Malignant neoplasm of body of pancreas | Can lead a claim | K | Malignant Neoplasm of Pancreas, Peritoneum and Retroperitoneum |
| C25.2 | Malignant neoplasm of tail of pancreas | Can lead a claim | K | Malignant Neoplasm of Pancreas, Peritoneum and Retroperitoneum |
| C25.3 | Malignant neoplasm of pancreatic duct | Can lead a claim | K | Malignant Neoplasm of Pancreas, Peritoneum and Retroperitoneum |
| C25.4 | Malignant neoplasm of endocrine pancreas | Can lead a claim | K | Malignant Neoplasm of Pancreas, Peritoneum and Retroperitoneum |
| C25.7 | Malignant neoplasm of other parts of pancreas | Can lead a claim | K | Malignant Neoplasm of Pancreas, Peritoneum and Retroperitoneum |
| C25.8 | Malignant neoplasm of overlapping sites of pancreas | Can lead a claim | K | Malignant Neoplasm of Pancreas, Peritoneum and Retroperitoneum |
| C25.9 | Malignant neoplasm of pancreas, unspecified | Can lead a claim | K | Malignant Neoplasm of Pancreas, Peritoneum and Retroperitoneum |
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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