ICD-10 · PDGM grouping
J39 Other diseases of upper respiratory tract
All 6 codes in the J39 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 J39
All 6 codes group to MMTA - Other (3) and MMTA - Respiratory (3). None of the 6 is assigned a comorbidity subgroup. Every code can lead a claim.
Every code in J39
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 |
|---|---|---|---|---|
| J39.0 | Retropharyngeal and parapharyngeal abscess | Can lead a claim | A | None |
| J39.1 | Other abscess of pharynx | Can lead a claim | A | None |
| J39.2 | Other diseases of pharynx | Can lead a claim | A | None |
| J39.3 | Upper respiratory tract hypersensitivity reaction, site unspecifiedCMS: Upper respiratory tract hypersensitivity reaction, site unsp | Can lead a claim | L | None |
| J39.8 | Other specified diseases of upper respiratory tract | Can lead a claim | L | None |
| J39.9 | Disease of upper respiratory tract, unspecified | Can lead a claim | L | 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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