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

D37 Neoplasm of uncertain behavior of oral cavity and digestive organs

All 17 codes in the D37 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

17

Can lead a claim

16

Cannot lead a claim

1

What CMS assigns to D37

16 of the 17 codes group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases; 1 is assigned no clinical group. None of the 17 is assigned a comorbidity subgroup. 16 of the 17 can lead a claim.

Every code in D37

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
D37.0 Neoplasm of uncertain behavior of lip, oral cavity and pharynx
D37.01Neoplasm of uncertain behavior of lipCan lead a claimKNone
D37.02Neoplasm of uncertain behavior of tongueCan lead a claimKNone
D37.03 Neoplasm of uncertain behavior of the major salivary glands
D37.030Neoplasm of uncertain behavior of the parotid salivary glandsCMS: Neoplasm of uncertain behavior of the parotid salivary glandCan lead a claimKNone
D37.031Neoplasm of uncertain behavior of the sublingual salivary glandsCMS: Neoplasm of uncrt behavior of the sublingual salivary glandCan lead a claimKNone
D37.032Neoplasm of uncertain behavior of the submandibular salivary glandsCMS: Neoplasm of uncrt behav of the submandibular salivary glandCan lead a claimKNone
D37.039Neoplasm of uncertain behavior of the major salivary glands, unspecifiedCMS: Neoplasm of uncrt behavior of the major salivary gland, unspCan lead a claimKNone
D37.04Neoplasm of uncertain behavior of the minor salivary glandsCan lead a claimKNone
D37.05Neoplasm of uncertain behavior of pharynxCan lead a claimKNone
D37.09Neoplasm of uncertain behavior of other specified sites of the oral cavityCMS: Neoplasm of uncertain behavior of sites of the oral cavityCan lead a claimKNone
D37.1Neoplasm of uncertain behavior of stomachCan lead a claimKNone
D37.2Neoplasm of uncertain behavior of small intestineCan lead a claimKNone
D37.3Neoplasm of uncertain behavior of appendixCan lead a claimKNone
D37.4Neoplasm of uncertain behavior of colonCan lead a claimKNone
D37.5Neoplasm of uncertain behavior of rectumCan lead a claimKNone
D37.6Neoplasm of uncertain behavior of liver, gallbladder and bile ductsCMS: Neoplasm of uncertain behavior of liver, GB & bile ductCan lead a claimKNone
D37.8Neoplasm of uncertain behavior of other specified digestive organsCMS: Neoplasm of uncertain behavior of oth digestive organsCan lead a claimKNone
D37.9Neoplasm of uncertain behavior of digestive organ, unspecifiedCMS: Neoplasm of uncertain behavior of digestive organ, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

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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