ICD-10 · PDGM grouping
N85 Other noninflammatory disorders of uterus, except cervix
All 12 codes in the N85 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
12
Can lead a claim
11
Cannot lead a claim
1
What CMS assigns to N85
11 of the 12 codes group to MMTA - Gastrointestinal tract and Genitourinary system (6) and MMTA - Other (5); 1 is assigned no clinical group. None of the 12 is assigned a comorbidity subgroup. 11 of the 12 can lead a claim.
Every code in N85
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 |
|---|---|---|---|---|
| N85.0 Endometrial hyperplasia | ||||
| N85.00 | Endometrial hyperplasia, unspecified | Can lead a claim | J | None |
| N85.01 | Benign endometrial hyperplasia | Can lead a claim | J | None |
| N85.02 | Endometrial intraepithelial neoplasia [EIN] | Can lead a claim | J | None |
| N85.2 | Hypertrophy of uterus | Can lead a claim | J | None |
| N85.3 | Subinvolution of uterus | Can lead a claim | A | None |
| N85.4 | Malposition of uterus | Can lead a claim | A | None |
| N85.5 | Inversion of uterus | Can lead a claim | A | None |
| N85.6 | Intrauterine synechiae | Can lead a claim | A | None |
| N85.7 | Hematometra | Can lead a claim | A | None |
| N85.8 | Other specified noninflammatory disorders of uterus | Can lead a claim | J | None |
| N85.9 | Noninflammatory disorder of uterus, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| N85.A | Isthmocele | Can lead a claim | J | 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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