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

D48 Neoplasm of uncertain behavior of other and unspecified sites

All 21 codes in the D48 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

21

Can lead a claim

18

Cannot lead a claim

3

What CMS assigns to D48

18 of the 21 codes group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases; 3 are assigned no clinical group. None of the 21 is assigned a comorbidity subgroup. 18 of the 21 can lead a claim.

Every code in D48

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
D48.0Neoplasm of uncertain behavior of bone and articular cartilageCMS: Neoplasm of uncertain behavior of bone/artic cartlCan lead a claimKNone
D48.1 Neoplasm of uncertain behavior of connective and other soft tissue
D48.11 Desmoid tumor
D48.110Desmoid tumor of head and neckCan lead a claimKNone
D48.111Desmoid tumor of chest wallCan lead a claimKNone
D48.112Desmoid tumor, intrathoracicCan lead a claimKNone
D48.113Desmoid tumor of abdominal wallCan lead a claimKNone
D48.114Desmoid tumor, intraabdominalCan lead a claimKNone
D48.115Desmoid tumor of upper extremity and shoulder girdleCan lead a claimKNone
D48.116Desmoid tumor of lower extremity and pelvic girdleCan lead a claimKNone
D48.117Desmoid tumor of backCan lead a claimKNone
D48.118Desmoid tumor of other siteCan lead a claimKNone
D48.119Desmoid tumor of unspecified siteCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
D48.19Other specified neoplasm of uncertain behavior of connective and other soft tissueCMS: Oth neoplasm of uncertain behavior of connctv/soft tissCan lead a claimKNone
D48.2Neoplasm of uncertain behavior of peripheral nerves and autonomic nervous systemCMS: Neoplm of uncrt behav of prph nerves and autonm nervous sysCan lead a claimKNone
D48.3Neoplasm of uncertain behavior of retroperitoneumCan lead a claimKNone
D48.4Neoplasm of uncertain behavior of peritoneumCan lead a claimKNone
D48.5Neoplasm of uncertain behavior of skinCan lead a claimKNone
D48.6 Neoplasm of uncertain behavior of breast
D48.60Neoplasm of uncertain behavior of unspecified breastCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
D48.61Neoplasm of uncertain behavior of right breastCan lead a claimKNone
D48.62Neoplasm of uncertain behavior of left breastCan lead a claimKNone
D48.7Neoplasm of uncertain behavior of other specified sitesCan lead a claimKNone
D48.9Neoplasm of uncertain behavior, unspecifiedCannot 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.

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