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

M01 Direct infections of joint in infectious and parasitic diseases classified elsewhere

All 24 codes in the M01 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

24

Can lead a claim

0

Cannot lead a claim

24

What CMS assigns to M01

None of the 24 codes is assigned a clinical group. None of the 24 is assigned a comorbidity subgroup. None can lead a claim. CMS attaches a code-first note to all 24.

Code first

CMS grouper convention 112, on all 24 codes. Code first:

  • O'nyong-nyong fever (A92.1)
  • leprosy [Hansen's disease] (A30.-)
  • mycoses (B35-B49)
  • paratyphoid fever (A01.1-A01.4)
  • underlying disease, such as:

Every code in M01

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
M01.X Direct infection of joint in infectious and parasitic diseases classified elsewhere
M01.X0Direct infection of unspecified joint in infectious and parasitic diseases classified elsewhereCMS: Dir infct of unsp joint in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M01.X1 Direct infection of shoulder joint in infectious and parasitic diseases classified elsewhere
M01.X11Direct infection of right shoulder in infectious and parasitic diseases classified elsewhereCMS: Direct infct of r shldr in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M01.X12Direct infection of left shoulder in infectious and parasitic diseases classified elsewhereCMS: Direct infct of l shldr in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M01.X19Direct infection of unspecified shoulder in infectious and parasitic diseases classified elsewhereCMS: Dir infct of unsp shldr in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M01.X2 Direct infection of elbow in infectious and parasitic diseases classified elsewhere
M01.X21Direct infection of right elbow in infectious and parasitic diseases classified elsewhereCMS: Direct infct of r elbow in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M01.X22Direct infection of left elbow in infectious and parasitic diseases classified elsewhereCMS: Direct infct of l elbow in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M01.X29Direct infection of unspecified elbow in infectious and parasitic diseases classified elsewhereCMS: Dir infct of unsp elbow in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M01.X3 Direct infection of wrist in infectious and parasitic diseases classified elsewhere
M01.X31Direct infection of right wrist in infectious and parasitic diseases classified elsewhereCMS: Direct infct of r wrist in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M01.X32Direct infection of left wrist in infectious and parasitic diseases classified elsewhereCMS: Direct infct of l wrist in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M01.X39Direct infection of unspecified wrist in infectious and parasitic diseases classified elsewhereCMS: Dir infct of unsp wrist in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M01.X4 Direct infection of hand in infectious and parasitic diseases classified elsewhere
M01.X41Direct infection of right hand in infectious and parasitic diseases classified elsewhereCMS: Direct infct of r hand in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M01.X42Direct infection of left hand in infectious and parasitic diseases classified elsewhereCMS: Direct infct of l hand in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M01.X49Direct infection of unspecified hand in infectious and parasitic diseases classified elsewhereCMS: Direct infct of unsp hand in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M01.X5 Direct infection of hip in infectious and parasitic diseases classified elsewhere
M01.X51Direct infection of right hip in infectious and parasitic diseases classified elsewhereCMS: Direct infct of r hip in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M01.X52Direct infection of left hip in infectious and parasitic diseases classified elsewhereCMS: Direct infct of left hip in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M01.X59Direct infection of unspecified hip in infectious and parasitic diseases classified elsewhereCMS: Direct infct of unsp hip in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M01.X6 Direct infection of knee in infectious and parasitic diseases classified elsewhere
M01.X61Direct infection of right knee in infectious and parasitic diseases classified elsewhereCMS: Direct infct of r knee in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M01.X62Direct infection of left knee in infectious and parasitic diseases classified elsewhereCMS: Direct infct of l knee in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M01.X69Direct infection of unspecified knee in infectious and parasitic diseases classified elsewhereCMS: Direct infct of unsp knee in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M01.X7 Direct infection of ankle and foot in infectious and parasitic diseases classified elsewhere
M01.X71Direct infection of right ankle and foot in infectious and parasitic diseases classified elsewhereCMS: Dir infct of right ank/ft in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M01.X72Direct infection of left ankle and foot in infectious and parasitic diseases classified elsewhereCMS: Dir infct of left ank/ft in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M01.X79Direct infection of unspecified ankle and foot in infectious and parasitic diseases classified elsewhereCMS: Dir infct of unsp ank/ft in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
M01.X8Direct infection of vertebrae in infectious and parasitic diseases classified elsewhereCMS: Direct infct of verteb in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
M01.X9Direct infection of multiple joints in infectious and parasitic diseases classified elsewhereCMS: Dir infct of mult joints in infec/parastc dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone

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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