ICD-10 · PDGM grouping
P15 Other birth injuries
All 9 codes in the P15 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
9
Can lead a claim
8
Cannot lead a claim
1
What CMS assigns to P15
8 of the 9 codes group to MMTA - Other; 1 is assigned no clinical group. None of the 9 is assigned a comorbidity subgroup. 8 of the 9 can lead a claim.
Every code in P15
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 |
|---|---|---|---|---|
| P15.0 | Birth injury to liver | Can lead a claim | A | None |
| P15.1 | Birth injury to spleen | Can lead a claim | A | None |
| P15.2 | Sternomastoid injury due to birth injury | Can lead a claim | A | None |
| P15.3 | Birth injury to eye | Can lead a claim | A | None |
| P15.4 | Birth injury to face | Can lead a claim | A | None |
| P15.5 | Birth injury to external genitalia | Can lead a claim | A | None |
| P15.6 | Subcutaneous fat necrosis due to birth injury | Can lead a claim | A | None |
| P15.8 | Other specified birth injuries | Can lead a claim | A | None |
| P15.9 | Birth injury, 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.
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