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

J69 Pneumonitis due to solids and liquids

All 3 codes in the J69 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

3

Can lead a claim

1

Cannot lead a claim

2

What CMS assigns to J69

1 of the 3 codes groups to MMTA - Respiratory; 2 are assigned no clinical group. 1 of the 3 counts toward the Bronchitis, Emphysema, and Interstitial Lung Disease comorbidity subgroup; 2 are assigned none. 1 of the 3 can lead a claim. CMS attaches a code-first note to 2 of the 3.

  • Bronchitis, Emphysema, and Interstitial Lung Disease: counts toward the high comorbidity tier only in an interaction pair.

Code first

CMS grouper convention 8, on J69.1, J69.8. Code first:

  • , if applicable, toxic effects of substances chiefly nonmedicinal as to source (T51-T65)

Every code in J69

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
J69.0Pneumonitis due to inhalation of food and vomitCan lead a claimLBronchitis, Emphysema, and Interstitial Lung Disease
J69.1Pneumonitis due to inhalation of oils and essencesCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
J69.8Pneumonitis due to inhalation of other solids and liquidsCannot 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.

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