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

C34 Malignant neoplasm of bronchus and lung

All 16 codes in the C34 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

16

Can lead a claim

12

Cannot lead a claim

4

What CMS assigns to C34

12 of the 16 codes group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases; 4 are assigned no clinical group. All 16 count toward the Malignant Neoplasm of Trachea, Bronchus, Lung, and Mediastinum comorbidity subgroup. 12 of the 16 can lead a claim.

  • Malignant Neoplasm of Trachea, Bronchus, Lung, and Mediastinum: can award the low comorbidity tier as a secondary diagnosis.

Every code in C34

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
C34.0 Malignant neoplasm of main bronchus
C34.00Malignant neoplasm of unspecified main bronchusCan lead a claimKMalignant Neoplasm of Trachea, Bronchus, Lung, and Mediastinum
C34.01Malignant neoplasm of right main bronchusCan lead a claimKMalignant Neoplasm of Trachea, Bronchus, Lung, and Mediastinum
C34.02Malignant neoplasm of left main bronchusCan lead a claimKMalignant Neoplasm of Trachea, Bronchus, Lung, and Mediastinum
C34.1 Malignant neoplasm of upper lobe, bronchus or lung
C34.10Malignant neoplasm of upper lobe, unspecified bronchus or lungCMS: Malignant neoplasm of upper lobe, unsp bronchus or lungCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneMalignant Neoplasm of Trachea, Bronchus, Lung, and Mediastinum
C34.11Malignant neoplasm of upper lobe, right bronchus or lungCan lead a claimKMalignant Neoplasm of Trachea, Bronchus, Lung, and Mediastinum
C34.12Malignant neoplasm of upper lobe, left bronchus or lungCan lead a claimKMalignant Neoplasm of Trachea, Bronchus, Lung, and Mediastinum
C34.2Malignant neoplasm of middle lobe, bronchus or lungCan lead a claimKMalignant Neoplasm of Trachea, Bronchus, Lung, and Mediastinum
C34.3 Malignant neoplasm of lower lobe, bronchus or lung
C34.30Malignant neoplasm of lower lobe, unspecified bronchus or lungCMS: Malignant neoplasm of lower lobe, unsp bronchus or lungCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneMalignant Neoplasm of Trachea, Bronchus, Lung, and Mediastinum
C34.31Malignant neoplasm of lower lobe, right bronchus or lungCan lead a claimKMalignant Neoplasm of Trachea, Bronchus, Lung, and Mediastinum
C34.32Malignant neoplasm of lower lobe, left bronchus or lungCan lead a claimKMalignant Neoplasm of Trachea, Bronchus, Lung, and Mediastinum
C34.8 Malignant neoplasm of overlapping sites of bronchus and lung
C34.80Malignant neoplasm of overlapping sites of unspecified bronchus and lungCMS: Malignant neoplasm of ovrlp sites of unsp bronchus and lungCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneMalignant Neoplasm of Trachea, Bronchus, Lung, and Mediastinum
C34.81Malignant neoplasm of overlapping sites of right bronchus and lungCMS: Malignant neoplasm of ovrlp sites of right bronchus and lungCan lead a claimKMalignant Neoplasm of Trachea, Bronchus, Lung, and Mediastinum
C34.82Malignant neoplasm of overlapping sites of left bronchus and lungCMS: Malignant neoplasm of ovrlp sites of left bronchus and lungCan lead a claimKMalignant Neoplasm of Trachea, Bronchus, Lung, and Mediastinum
C34.9 Malignant neoplasm of unspecified part of bronchus or lung
C34.90Malignant neoplasm of unspecified part of unspecified bronchus or lungCMS: Malignant neoplasm of unsp part of unsp bronchus or lungCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneMalignant Neoplasm of Trachea, Bronchus, Lung, and Mediastinum
C34.91Malignant neoplasm of unspecified part of right bronchus or lungCMS: Malignant neoplasm of unsp part of right bronchus or lungCan lead a claimKMalignant Neoplasm of Trachea, Bronchus, Lung, and Mediastinum
C34.92Malignant neoplasm of unspecified part of left bronchus or lungCMS: Malignant neoplasm of unsp part of left bronchus or lungCan lead a claimKMalignant Neoplasm of Trachea, Bronchus, Lung, and Mediastinum

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.

The monthly home health regs digest

What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue