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

P83 Other conditions of integument specific to newborn

All 11 codes in the P83 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

11

Can lead a claim

10

Cannot lead a claim

1

What CMS assigns to P83

10 of the 11 codes group to MMTA - Other; 1 is assigned no clinical group. None of the 11 is assigned a comorbidity subgroup. 10 of the 11 can lead a claim.

Every code in P83

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
P83.0Sclerema neonatorumCan lead a claimANone
P83.1Neonatal erythema toxicumCan lead a claimANone
P83.2Hydrops fetalis not due to hemolytic diseaseCan lead a claimANone
P83.3 Other and unspecified edema specific to newborn
P83.30Unspecified edema specific to newbornCan lead a claimANone
P83.39Other edema specific to newbornCan lead a claimANone
P83.4Breast engorgement of newbornCan lead a claimANone
P83.5Congenital hydroceleCan lead a claimANone
P83.6Umbilical polyp of newbornCan lead a claimANone
P83.8 Other specified conditions of integument specific to newborn
P83.81Umbilical granulomaCan lead a claimANone
P83.88Other specified conditions of integument specific to newbornCan lead a claimANone
P83.9Condition of the integument specific to newborn, unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

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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