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

O33 Maternal care for disproportion

All 40 codes in the O33 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

40

Can lead a claim

0

Cannot lead a claim

40

What CMS assigns to O33

None of the 40 codes is assigned a clinical group. None of the 40 is assigned a comorbidity subgroup. None can lead a claim.

Every code in O33

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
O33.0Maternal care for disproportion due to deformity of maternal pelvic bonesCMS: Matern care for disproprtn d/t deformity of matern pelv boneCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.1Maternal care for disproportion due to generally contracted pelvisCMS: Matern care for disproprtn d/t generally contracted pelvisCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.2Maternal care for disproportion due to inlet contraction of pelvisCMS: Maternal care for disproprtn due to inlet contrctn of pelvisCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.3 Maternal care for disproportion due to outlet contraction of pelvis
O33.3XX0Maternal care for disproportion due to outlet contraction of pelvis, not applicable or unspecifiedCMS: Matern care for disproprtn d/t outlet contrctn of pelv, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.3XX1Maternal care for disproportion due to outlet contraction of pelvis, fetus 1CMS: Matern care for disproprtn d/t outlet contrctn of pelv, fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.3XX2Maternal care for disproportion due to outlet contraction of pelvis, fetus 2CMS: Matern care for disproprtn d/t outlet contrctn of pelv, fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.3XX3Maternal care for disproportion due to outlet contraction of pelvis, fetus 3CMS: Matern care for disproprtn d/t outlet contrctn of pelv, fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.3XX4Maternal care for disproportion due to outlet contraction of pelvis, fetus 4CMS: Matern care for disproprtn d/t outlet contrctn of pelv, fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.3XX5Maternal care for disproportion due to outlet contraction of pelvis, fetus 5CMS: Matern care for disproprtn d/t outlet contrctn of pelv, fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.3XX9Maternal care for disproportion due to outlet contraction of pelvis, other fetusCMS: Matern care for disproprtn d/t outlet contrctn of pelv, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.4 Maternal care for disproportion of mixed maternal and fetal origin
O33.4XX0Maternal care for disproportion of mixed maternal and fetal origin, not applicable or unspecifiedCMS: Matern care for disproprtn of mix matern & fetl origin, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.4XX1Maternal care for disproportion of mixed maternal and fetal origin, fetus 1CMS: Matern care for disproprtn of mix matern & fetl origin, fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.4XX2Maternal care for disproportion of mixed maternal and fetal origin, fetus 2CMS: Matern care for disproprtn of mix matern & fetl origin, fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.4XX3Maternal care for disproportion of mixed maternal and fetal origin, fetus 3CMS: Matern care for disproprtn of mix matern & fetl origin, fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.4XX4Maternal care for disproportion of mixed maternal and fetal origin, fetus 4CMS: Matern care for disproprtn of mix matern & fetl origin, fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.4XX5Maternal care for disproportion of mixed maternal and fetal origin, fetus 5CMS: Matern care for disproprtn of mix matern & fetl origin, fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.4XX9Maternal care for disproportion of mixed maternal and fetal origin, other fetusCMS: Matern care for disproprtn of mix matern & fetl origin, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.5 Maternal care for disproportion due to unusually large fetus
O33.5XX0Maternal care for disproportion due to unusually large fetus, not applicable or unspecifiedCMS: Matern care for disproprtn d/t unusually large fetus, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.5XX1Maternal care for disproportion due to unusually large fetus, fetus 1CMS: Matern care for disproprtn d/t unusually large fetus, fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.5XX2Maternal care for disproportion due to unusually large fetus, fetus 2CMS: Matern care for disproprtn d/t unusually large fetus, fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.5XX3Maternal care for disproportion due to unusually large fetus, fetus 3CMS: Matern care for disproprtn d/t unusually large fetus, fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.5XX4Maternal care for disproportion due to unusually large fetus, fetus 4CMS: Matern care for disproprtn d/t unusually large fetus, fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.5XX5Maternal care for disproportion due to unusually large fetus, fetus 5CMS: Matern care for disproprtn d/t unusually large fetus, fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.5XX9Maternal care for disproportion due to unusually large fetus, other fetusCMS: Matern care for disproprtn due to unusually large fetus, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.6 Maternal care for disproportion due to hydrocephalic fetus
O33.6XX0Maternal care for disproportion due to hydrocephalic fetus, not applicable or unspecifiedCMS: Matern care for disproprtn due to hydrocephalic fetus, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.6XX1Maternal care for disproportion due to hydrocephalic fetus, fetus 1CMS: Matern care for disproprtn due to hydrocephalic fetus, fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.6XX2Maternal care for disproportion due to hydrocephalic fetus, fetus 2CMS: Matern care for disproprtn due to hydrocephalic fetus, fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.6XX3Maternal care for disproportion due to hydrocephalic fetus, fetus 3CMS: Matern care for disproprtn due to hydrocephalic fetus, fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.6XX4Maternal care for disproportion due to hydrocephalic fetus, fetus 4CMS: Matern care for disproprtn due to hydrocephalic fetus, fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.6XX5Maternal care for disproportion due to hydrocephalic fetus, fetus 5CMS: Matern care for disproprtn due to hydrocephalic fetus, fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.6XX9Maternal care for disproportion due to hydrocephalic fetus, other fetusCMS: Maternal care for disproprtn due to hydrocephalic fetus, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.7 Maternal care for disproportion due to other fetal deformities
O33.7XX0Maternal care for disproportion due to other fetal deformities, not applicable or unspecifiedCMS: Maternal care for disproprtn due to other fetal deform, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.7XX1Maternal care for disproportion due to other fetal deformities, fetus 1CMS: Matern care for disproprtn due to other fetal deform, fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.7XX2Maternal care for disproportion due to other fetal deformities, fetus 2CMS: Matern care for disproprtn due to other fetal deform, fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.7XX3Maternal care for disproportion due to other fetal deformities, fetus 3CMS: Matern care for disproprtn due to other fetal deform, fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.7XX4Maternal care for disproportion due to other fetal deformities, fetus 4CMS: Matern care for disproprtn due to other fetal deform, fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.7XX5Maternal care for disproportion due to other fetal deformities, fetus 5CMS: Matern care for disproprtn due to other fetal deform, fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.7XX9Maternal care for disproportion due to other fetal deformities, other fetusCMS: Maternal care for disproprtn due to other fetal deform, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.8Maternal care for disproportion of other originCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O33.9Maternal care for disproportion, unspecifiedCannot 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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