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

E16 Other disorders of pancreatic internal secretion

All 10 codes in the E16 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

10

Can lead a claim

10

Cannot lead a claim

0

What CMS assigns to E16

All 10 codes group to MMTA - Endocrine (9) and MMTA - Other (1). None of the 10 is assigned a comorbidity subgroup. Every code can lead a claim.

Every code in E16

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
E16.0Drug-induced hypoglycemia without comaCan lead a claimINone
E16.1Other hypoglycemiaCan lead a claimINone
E16.2Hypoglycemia, unspecifiedCan lead a claimINone
E16.3Increased secretion of glucagonCan lead a claimANone
E16.4Increased secretion of gastrinCan lead a claimINone
E16.8Other specified disorders of pancreatic internal secretionCan lead a claimINone
E16.9Disorder of pancreatic internal secretion, unspecifiedCan lead a claimINone
E16.A Hypoglycemia level
E16.A1Hypoglycemia level 1Can lead a claimINone
E16.A2Hypoglycemia level 2Can lead a claimINone
E16.A3Hypoglycemia level 3Can lead a claimINone

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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