ICD-10 · PDGM grouping
N43 Hydrocele and spermatocele
All 7 codes in the N43 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
7
Can lead a claim
5
Cannot lead a claim
2
What CMS assigns to N43
5 of the 7 codes group to MMTA - Other (3) and MMTA - Gastrointestinal tract and Genitourinary system (2); 2 are assigned no clinical group. None of the 7 is assigned a comorbidity subgroup. 5 of the 7 can lead a claim.
Every code in N43
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 |
|---|---|---|---|---|
| N43.0 | Encysted hydrocele | Can lead a claim | A | None |
| N43.1 | Infected hydrocele | Can lead a claim | J | None |
| N43.2 | Other hydrocele | Can lead a claim | J | None |
| N43.3 | Hydrocele, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| N43.4 Spermatocele of epididymis | ||||
| N43.40 | Spermatocele of epididymis, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| N43.41 | Spermatocele of epididymis, single | Can lead a claim | A | None |
| N43.42 | Spermatocele of epididymis, multiple | Can lead a claim | A | 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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