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

Q24 Other congenital malformations of heart

All 9 codes in the Q24 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

9

Can lead a claim

8

Cannot lead a claim

1

What CMS assigns to Q24

8 of the 9 codes group to MMTA - Other; 1 is assigned no clinical group. None of the 9 is assigned a comorbidity subgroup. 8 of the 9 can lead a claim.

Every code in Q24

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Q24.0DextrocardiaCan lead a claimANone
Q24.1LevocardiaCan lead a claimANone
Q24.2Cor triatriatumCan lead a claimANone
Q24.3Pulmonary infundibular stenosisCan lead a claimANone
Q24.4Congenital subaortic stenosisCan lead a claimANone
Q24.5Malformation of coronary vesselsCan lead a claimANone
Q24.6Congenital heart blockCan lead a claimANone
Q24.8Other specified congenital malformations of heartCan lead a claimANone
Q24.9Congenital malformation of heart, 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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