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

N49 Inflammatory disorders of male genital organs, not elsewhere classified

All 6 codes in the N49 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

6

Can lead a claim

5

Cannot lead a claim

1

What CMS assigns to N49

5 of the 6 codes group to MMTA - Gastrointestinal tract and Genitourinary system (3), MMTA - Other (1) and Wound (1); 1 is assigned no clinical group. None of the 6 is assigned a comorbidity subgroup. 5 of the 6 can lead a claim.

Every code in N49

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
N49.0Inflammatory disorders of seminal vesicleCan lead a claimJNone
N49.1Inflammatory disorders of spermatic cord, tunica vaginalis and vas deferensCMS: Inflam disorders of sperm cord, tunica vaginalis and vas defCan lead a claimANone
N49.2Inflammatory disorders of scrotumCan lead a claimJNone
N49.3Fournier gangreneCan lead a claimCNone
N49.8Inflammatory disorders of other specified male genital organsCMS: Inflammatory disorders of oth male genital organsCan lead a claimJNone
N49.9Inflammatory disorder of unspecified male genital organCannot 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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