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

Q18 Other congenital malformations of face and neck

All 10 codes in the Q18 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

0

Cannot lead a claim

10

What CMS assigns to Q18

None of the 10 codes is assigned a clinical group. None of the 10 is assigned a comorbidity subgroup. None can lead a claim.

Every code in Q18

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Q18.0Sinus, fistula and cyst of branchial cleftCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q18.1Preauricular sinus and cystCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q18.2Other branchial cleft malformationsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q18.3Webbing of neckCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q18.4MacrostomiaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q18.5MicrostomiaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q18.6MacrocheiliaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q18.7MicrocheiliaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q18.8Other specified congenital malformations of face and neckCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q18.9Congenital malformation of face and neck, 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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