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

P36 Bacterial sepsis of newborn

All 10 codes in the P36 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

10

Can lead a claim

10

Cannot lead a claim

0

What CMS assigns to P36

All 10 codes group to MMTA - Other. None of the 10 is assigned a comorbidity subgroup. Every code can lead a claim.

Every code in P36

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
P36.0Sepsis of newborn due to streptococcus, group BCan lead a claimANone
P36.1 Sepsis of newborn due to other and unspecified streptococci
P36.10Sepsis of newborn due to unspecified streptococciCan lead a claimANone
P36.19Sepsis of newborn due to other streptococciCan lead a claimANone
P36.2Sepsis of newborn due to Staphylococcus aureusCan lead a claimANone
P36.3 Sepsis of newborn due to other and unspecified staphylococci
P36.30Sepsis of newborn due to unspecified staphylococciCan lead a claimANone
P36.39Sepsis of newborn due to other staphylococciCan lead a claimANone
P36.4Sepsis of newborn due to Escherichia coliCan lead a claimANone
P36.5Sepsis of newborn due to anaerobesCan lead a claimANone
P36.8Other bacterial sepsis of newbornCan lead a claimANone
P36.9Bacterial sepsis of newborn, unspecifiedCan lead a claimANone

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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