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

Q25 Congenital malformations of great arteries

All 22 codes in the Q25 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

22

Can lead a claim

20

Cannot lead a claim

2

What CMS assigns to Q25

20 of the 22 codes group to MMTA - Other; 2 are assigned no clinical group. None of the 22 is assigned a comorbidity subgroup. 20 of the 22 can lead a claim.

Every code in Q25

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Q25.0Patent ductus arteriosusCan lead a claimANone
Q25.1Coarctation of aortaCan lead a claimANone
Q25.2 Atresia of aorta
Q25.21Interruption of aortic archCan lead a claimANone
Q25.29Other atresia of aortaCan lead a claimANone
Q25.3Supravalvular aortic stenosisCan lead a claimANone
Q25.4 Other congenital malformations of aorta
Q25.40Congenital malformation of aorta unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q25.41Absence and aplasia of aortaCan lead a claimANone
Q25.42Hypoplasia of aortaCan lead a claimANone
Q25.43Congenital aneurysm of aortaCan lead a claimANone
Q25.44Congenital dilation of aortaCan lead a claimANone
Q25.45Double aortic archCan lead a claimANone
Q25.46Tortuous aortic archCan lead a claimANone
Q25.47Right aortic archCan lead a claimANone
Q25.48Anomalous origin of subclavian arteryCan lead a claimANone
Q25.49Other congenital malformations of aortaCan lead a claimANone
Q25.5Atresia of pulmonary arteryCan lead a claimANone
Q25.6Stenosis of pulmonary arteryCan lead a claimANone
Q25.7 Other congenital malformations of pulmonary artery
Q25.71Coarctation of pulmonary arteryCan lead a claimANone
Q25.72Congenital pulmonary arteriovenous malformationCan lead a claimANone
Q25.79Other congenital malformations of pulmonary arteryCan lead a claimANone
Q25.8Other congenital malformations of other great arteriesCan lead a claimANone
Q25.9Congenital malformation of great arteries, 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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