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

M40 Kyphosis and lordosis

All 31 codes in the M40 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

31

Can lead a claim

0

Cannot lead a claim

31

What CMS assigns to M40

None of the 31 codes is assigned a clinical group. None of the 31 is assigned a comorbidity subgroup. None can lead a claim. CMS attaches a code-first note to all 31.

Code first

CMS grouper convention 12, on all 31 codes. Code first:

  • underlying disease

Every code in M40

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
M40.0 Postural kyphosis
M40.00Postural kyphosis, site unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.03Postural kyphosis, cervicothoracic regionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.04Postural kyphosis, thoracic regionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.05Postural kyphosis, thoracolumbar regionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.1 Other secondary kyphosis
M40.10Other secondary kyphosis, site unspecifiedCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
M40.12Other secondary kyphosis, cervical regionCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
M40.13Other secondary kyphosis, cervicothoracic regionCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
M40.14Other secondary kyphosis, thoracic regionCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
M40.15Other secondary kyphosis, thoracolumbar regionCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
M40.2 Other and unspecified kyphosis
M40.20 Unspecified kyphosis
M40.202Unspecified kyphosis, cervical regionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.203Unspecified kyphosis, cervicothoracic regionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.204Unspecified kyphosis, thoracic regionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.205Unspecified kyphosis, thoracolumbar regionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.209Unspecified kyphosis, site unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.29 Other kyphosis
M40.292Other kyphosis, cervical regionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.293Other kyphosis, cervicothoracic regionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.294Other kyphosis, thoracic regionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.295Other kyphosis, thoracolumbar regionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.299Other kyphosis, site unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.3 Flatback syndrome
M40.30Flatback syndrome, site unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.35Flatback syndrome, thoracolumbar regionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.36Flatback syndrome, lumbar regionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.37Flatback syndrome, lumbosacral regionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.4 Postural lordosis
M40.40Postural lordosis, site unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.45Postural lordosis, thoracolumbar regionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.46Postural lordosis, lumbar regionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.47Postural lordosis, lumbosacral regionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.5 Lordosis, unspecified
M40.50Lordosis, unspecified, site unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.55Lordosis, unspecified, thoracolumbar regionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.56Lordosis, unspecified, lumbar regionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
M40.57Lordosis, unspecified, lumbosacral regionCannot 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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