ICD-10 · PDGM grouping
M07 Enteropathic arthropathies
All 24 codes in the M07 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
24
Can lead a claim
16
Cannot lead a claim
8
What CMS assigns to M07
16 of the 24 codes group to Musculoskeletal Rehabilitation; 8 are assigned no clinical group. None of the 24 is assigned a comorbidity subgroup. 16 of the 24 can lead a claim.
Every code in M07
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 |
|---|---|---|---|---|
| M07.6 Enteropathic arthropathies | ||||
| M07.60 | Enteropathic arthropathies, unspecified site | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M07.61 Enteropathic arthropathies, shoulder | ||||
| M07.611 | Enteropathic arthropathies, right shoulder | Can lead a claim | E | None |
| M07.612 | Enteropathic arthropathies, left shoulder | Can lead a claim | E | None |
| M07.619 | Enteropathic arthropathies, unspecified shoulder | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M07.62 Enteropathic arthropathies, elbow | ||||
| M07.621 | Enteropathic arthropathies, right elbow | Can lead a claim | E | None |
| M07.622 | Enteropathic arthropathies, left elbow | Can lead a claim | E | None |
| M07.629 | Enteropathic arthropathies, unspecified elbow | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M07.63 Enteropathic arthropathies, wrist | ||||
| M07.631 | Enteropathic arthropathies, right wrist | Can lead a claim | E | None |
| M07.632 | Enteropathic arthropathies, left wrist | Can lead a claim | E | None |
| M07.639 | Enteropathic arthropathies, unspecified wrist | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M07.64 Enteropathic arthropathies, hand | ||||
| M07.641 | Enteropathic arthropathies, right hand | Can lead a claim | E | None |
| M07.642 | Enteropathic arthropathies, left hand | Can lead a claim | E | None |
| M07.649 | Enteropathic arthropathies, unspecified hand | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M07.65 Enteropathic arthropathies, hip | ||||
| M07.651 | Enteropathic arthropathies, right hip | Can lead a claim | E | None |
| M07.652 | Enteropathic arthropathies, left hip | Can lead a claim | E | None |
| M07.659 | Enteropathic arthropathies, unspecified hip | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M07.66 Enteropathic arthropathies, knee | ||||
| M07.661 | Enteropathic arthropathies, right knee | Can lead a claim | E | None |
| M07.662 | Enteropathic arthropathies, left knee | Can lead a claim | E | None |
| M07.669 | Enteropathic arthropathies, unspecified knee | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M07.67 Enteropathic arthropathies, ankle and foot | ||||
| M07.671 | Enteropathic arthropathies, right ankle and foot | Can lead a claim | E | None |
| M07.672 | Enteropathic arthropathies, left ankle and foot | Can lead a claim | E | None |
| M07.679 | Enteropathic arthropathies, unspecified ankle and foot | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M07.68 | Enteropathic arthropathies, vertebrae | Can lead a claim | E | None |
| M07.69 | Enteropathic arthropathies, multiple sites | Can lead a claim | E | 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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