ICD-10 · PDGM grouping
Q05 Spina bifida
All 10 codes in the Q05 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
10
Can lead a claim
10
Cannot lead a claim
0
What CMS assigns to Q05
All 10 codes group to Neuro Rehabilitation. None of the 10 is assigned a comorbidity subgroup. Every code can lead a claim.
Every code in Q05
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 |
|---|---|---|---|---|
| Q05.0 | Cervical spina bifida with hydrocephalus | Can lead a claim | B | None |
| Q05.1 | Thoracic spina bifida with hydrocephalus | Can lead a claim | B | None |
| Q05.2 | Lumbar spina bifida with hydrocephalus | Can lead a claim | B | None |
| Q05.3 | Sacral spina bifida with hydrocephalus | Can lead a claim | B | None |
| Q05.4 | Unspecified spina bifida with hydrocephalus | Can lead a claim | B | None |
| Q05.5 | Cervical spina bifida without hydrocephalus | Can lead a claim | B | None |
| Q05.6 | Thoracic spina bifida without hydrocephalus | Can lead a claim | B | None |
| Q05.7 | Lumbar spina bifida without hydrocephalus | Can lead a claim | B | None |
| Q05.8 | Sacral spina bifida without hydrocephalus | Can lead a claim | B | None |
| Q05.9 | Spina bifida, unspecified | Can lead a claim | B | 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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