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

M20 Acquired deformities of fingers and toes

All 33 codes in the M20 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

33

Can lead a claim

18

Cannot lead a claim

15

What CMS assigns to M20

18 of the 33 codes group to MMTA - Other; 15 are assigned no clinical group. None of the 33 is assigned a comorbidity subgroup. 18 of the 33 can lead a claim.

Every code in M20

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
M20.0 Deformity of finger(s)
M20.00 Unspecified deformity of finger(s)
M20.001Unspecified deformity of right finger(s)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M20.002Unspecified deformity of left finger(s)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M20.009Unspecified deformity of unspecified finger(s)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M20.01 Mallet finger
M20.011Mallet finger of right finger(s)Can lead a claimANone
M20.012Mallet finger of left finger(s)Can lead a claimANone
M20.019Mallet finger of unspecified finger(s)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M20.02 Boutonniere deformity
M20.021Boutonniere deformity of right finger(s)Can lead a claimANone
M20.022Boutonniere deformity of left finger(s)Can lead a claimANone
M20.029Boutonniere deformity of unspecified finger(s)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M20.03 Swan-neck deformity
M20.031Swan-neck deformity of right finger(s)Can lead a claimANone
M20.032Swan-neck deformity of left finger(s)Can lead a claimANone
M20.039Swan-neck deformity of unspecified finger(s)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M20.09 Other deformity of finger(s)
M20.091Other deformity of right finger(s)Can lead a claimANone
M20.092Other deformity of left finger(s)Can lead a claimANone
M20.099Other deformity of finger(s), unspecified finger(s)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M20.1 Hallux valgus (acquired)
M20.10Hallux valgus (acquired), unspecified footCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M20.11Hallux valgus (acquired), right footCan lead a claimANone
M20.12Hallux valgus (acquired), left footCan lead a claimANone
M20.2 Hallux rigidus
M20.20Hallux rigidus, unspecified footCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M20.21Hallux rigidus, right footCan lead a claimANone
M20.22Hallux rigidus, left footCan lead a claimANone
M20.3 Hallux varus (acquired)
M20.30Hallux varus (acquired), unspecified footCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M20.31Hallux varus (acquired), right footCan lead a claimANone
M20.32Hallux varus (acquired), left footCan lead a claimANone
M20.4 Other hammer toe(s) (acquired)
M20.40Other hammer toe(s) (acquired), unspecified footCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M20.41Other hammer toe(s) (acquired), right footCan lead a claimANone
M20.42Other hammer toe(s) (acquired), left footCan lead a claimANone
M20.5 Other deformities of toe(s) (acquired)
M20.5X Other deformities of toe(s) (acquired)
M20.5X1Other deformities of toe(s) (acquired), right footCan lead a claimANone
M20.5X2Other deformities of toe(s) (acquired), left footCan lead a claimANone
M20.5X9Other deformities of toe(s) (acquired), unspecified footCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M20.6 Acquired deformities of toe(s), unspecified
M20.60Acquired deformities of toe(s), unspecified, unspecified footCMS: Acquired deformities of toe(s), unsp, unspecified footCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M20.61Acquired deformities of toe(s), unspecified, right footCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M20.62Acquired deformities of toe(s), unspecified, left footCannot 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.

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