ICD-10 · PDGM grouping
P01 Newborn affected by maternal complications of pregnancy
All 10 codes in the P01 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
10
Can lead a claim
10
Cannot lead a claim
0
What CMS assigns to P01
All 10 codes group to MMTA - Other. None of the 10 is assigned a comorbidity subgroup. Every code can lead a claim. CMS attaches a code-first note to all 10.
Code first
CMS grouper convention 12, on all 10 codes. Code first:
- underlying disease
Every code in P01
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 |
|---|---|---|---|---|
| P01.0 | Newborn affected by incompetent cervix | Can lead a claim, code first applies | A | None |
| P01.1 | Newborn affected by premature rupture of membranes | Can lead a claim, code first applies | A | None |
| P01.2 | Newborn affected by oligohydramnios | Can lead a claim, code first applies | A | None |
| P01.3 | Newborn affected by polyhydramnios | Can lead a claim, code first applies | A | None |
| P01.4 | Newborn affected by ectopic pregnancy | Can lead a claim, code first applies | A | None |
| P01.5 | Newborn affected by multiple pregnancy | Can lead a claim, code first applies | A | None |
| P01.6 | Newborn affected by maternal death | Can lead a claim, code first applies | A | None |
| P01.7 | Newborn affected by malpresentation before labor | Can lead a claim, code first applies | A | None |
| P01.8 | Newborn affected by other maternal complications of pregnancyCMS: Newborn affected by other maternal comp of pregnancy | Can lead a claim, code first applies | A | None |
| P01.9 | Newborn affected by maternal complication of pregnancy, unspecifiedCMS: Newborn affected by maternal comp of pregnancy, unspecified | Can lead a claim, code first applies | 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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