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

P78 Other perinatal digestive system disorders

All 10 codes in the P78 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 P78

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 P78

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
P78.0Perinatal intestinal perforationCan lead a claimANone
P78.1Other neonatal peritonitisCan lead a claimANone
P78.2Neonatal hematemesis and melena due to swallowed maternal bloodCMS: Neonatal hematemesis and melena d/t swallowed matern bloodCan lead a claimANone
P78.3Noninfective neonatal diarrheaCan lead a claimANone
P78.8 Other specified perinatal digestive system disorders
P78.81Congenital cirrhosis (of liver)Can lead a claimANone
P78.82Peptic ulcer of newbornCan lead a claimANone
P78.83Newborn esophageal refluxCan lead a claimANone
P78.84Gestational alloimmune liver diseaseCan lead a claimANone
P78.89Other specified perinatal digestive system disordersCan lead a claimANone
P78.9Perinatal digestive system disorder, 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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