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

E66 Overweight and obesity

All 10 codes in the E66 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 E66

All 10 codes group to MMTA - Other. 1 of the 10 counts toward the Obesity, and Disorders of Metabolism and Fluid Balance comorbidity subgroup; 9 are assigned none. Every code can lead a claim. CMS attaches a code-first note to all 10.

  • Obesity, and Disorders of Metabolism and Fluid Balance: counts toward the high comorbidity tier only in an interaction pair.

Code first

CMS grouper convention 23, on all 10 codes. Code first:

  • obesity complicating pregnancy, childbirth and the puerperium, if applicable (O99.21-)

Every code in E66

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
E66.0 Obesity due to excess calories
E66.01Morbid (severe) obesity due to excess caloriesCan lead a claim, code first appliesAObesity, and Disorders of Metabolism and Fluid Balance
E66.09Other obesity due to excess caloriesCan lead a claim, code first appliesANone
E66.1Drug-induced obesityCan lead a claim, code first appliesANone
E66.2Morbid (severe) obesity with alveolar hypoventilationCan lead a claim, code first appliesANone
E66.3OverweightCan lead a claim, code first appliesANone
E66.8 Other obesity
E66.81 Obesity class
E66.811Obesity, class 1Can lead a claim, code first appliesANone
E66.812Obesity, class 2Can lead a claim, code first appliesANone
E66.813Obesity, class 3Can lead a claim, code first appliesANone
E66.89Other obesity not elsewhere classifiedCan lead a claim, code first appliesANone
E66.9Obesity, unspecifiedCan lead a claim, code first appliesANone

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