ICD-10 · PDGM grouping
D40 Neoplasm of uncertain behavior of male genital organs
All 6 codes in the D40 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
6
Can lead a claim
4
Cannot lead a claim
2
What CMS assigns to D40
4 of the 6 codes group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases; 2 are assigned no clinical group. None of the 6 is assigned a comorbidity subgroup. 4 of the 6 can lead a claim.
Every code in D40
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 |
|---|---|---|---|---|
| D40.0 | Neoplasm of uncertain behavior of prostate | Can lead a claim | K | None |
| D40.1 Neoplasm of uncertain behavior of testis | ||||
| D40.10 | Neoplasm of uncertain behavior of unspecified testis | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| D40.11 | Neoplasm of uncertain behavior of right testis | Can lead a claim | K | None |
| D40.12 | Neoplasm of uncertain behavior of left testis | Can lead a claim | K | None |
| D40.8 | Neoplasm of uncertain behavior of other specified male genital organsCMS: Neoplasm of uncertain behavior of oth male genital organs | Can lead a claim | K | None |
| D40.9 | Neoplasm of uncertain behavior of male genital organ, unspecifiedCMS: Neoplasm of uncertain behavior of male genital organ, unsp | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
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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