ICD-10 · PDGM grouping
F55 Abuse of non-psychoactive substances
All 6 codes in the F55 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
6
Cannot lead a claim
0
What CMS assigns to F55
All 6 codes group to Behavioral Health. None of the 6 is assigned a comorbidity subgroup. Every code can lead a claim.
Every code in F55
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 |
|---|---|---|---|---|
| F55.0 | Abuse of antacids | Can lead a claim | F | None |
| F55.1 | Abuse of herbal or folk remedies | Can lead a claim | F | None |
| F55.2 | Abuse of laxatives | Can lead a claim | F | None |
| F55.3 | Abuse of steroids or hormones | Can lead a claim | F | None |
| F55.4 | Abuse of vitamins | Can lead a claim | F | None |
| F55.8 | Abuse of other non-psychoactive substances | Can lead a claim | F | 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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