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

Q26 Congenital malformations of great veins

All 9 codes in the Q26 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

9

Cannot lead a claim

0

What CMS assigns to Q26

All 9 codes group to MMTA - Other. None of the 9 is assigned a comorbidity subgroup. Every code can lead a claim.

Every code in Q26

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Q26.0Congenital stenosis of vena cavaCan lead a claimANone
Q26.1Persistent left superior vena cavaCan lead a claimANone
Q26.2Total anomalous pulmonary venous connectionCan lead a claimANone
Q26.3Partial anomalous pulmonary venous connectionCan lead a claimANone
Q26.4Anomalous pulmonary venous connection, unspecifiedCan lead a claimANone
Q26.5Anomalous portal venous connectionCan lead a claimANone
Q26.6Portal vein-hepatic artery fistulaCan lead a claimANone
Q26.8Other congenital malformations of great veinsCan lead a claimANone
Q26.9Congenital malformation of great vein, unspecifiedCan lead a claimANone

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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