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

E28 Ovarian dysfunction

All 8 codes in the E28 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

8

Can lead a claim

7

Cannot lead a claim

1

What CMS assigns to E28

7 of the 8 codes group to MMTA - Other (5) and MMTA - Endocrine (2); 1 is assigned no clinical group. None of the 8 is assigned a comorbidity subgroup. 7 of the 8 can lead a claim.

Every code in E28

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
E28.0Estrogen excessCan lead a claimANone
E28.1Androgen excessCan lead a claimANone
E28.2Polycystic ovarian syndromeCan lead a claimINone
E28.3 Primary ovarian failure
E28.31 Premature menopause
E28.310Symptomatic premature menopauseCan lead a claimANone
E28.319Asymptomatic premature menopauseCan lead a claimANone
E28.39Other primary ovarian failureCan lead a claimANone
E28.8Other ovarian dysfunctionCan lead a claimINone
E28.9Ovarian dysfunction, 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.

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