ICD-10 · PDGM grouping
P13 Birth injury to skeleton
All 7 codes in the P13 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
6
Cannot lead a claim
1
What CMS assigns to P13
6 of the 7 codes group to Musculoskeletal Rehabilitation; 1 is assigned no clinical group. None of the 7 is assigned a comorbidity subgroup. 6 of the 7 can lead a claim.
Every code in P13
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 |
|---|---|---|---|---|
| P13.0 | Fracture of skull due to birth injury | Can lead a claim | E | None |
| P13.1 | Other birth injuries to skull | Can lead a claim | E | None |
| P13.2 | Birth injury to femur | Can lead a claim | E | None |
| P13.3 | Birth injury to other long bones | Can lead a claim | E | None |
| P13.4 | Fracture of clavicle due to birth injury | Can lead a claim | E | None |
| P13.8 | Birth injuries to other parts of skeleton | Can lead a claim | E | None |
| P13.9 | Birth injury to skeleton, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | 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.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue