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

Q34 Other congenital malformations of respiratory system

All 4 codes in the Q34 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

4

Can lead a claim

3

Cannot lead a claim

1

What CMS assigns to Q34

3 of the 4 codes group to MMTA - Other; 1 is assigned no clinical group. None of the 4 is assigned a comorbidity subgroup. 3 of the 4 can lead a claim.

Every code in Q34

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Q34.0Anomaly of pleuraCan lead a claimANone
Q34.1Congenital cyst of mediastinumCan lead a claimANone
Q34.8Other specified congenital malformations of respiratory systemCMS: Oth congenital malformations of respiratory systemCan lead a claimANone
Q34.9Congenital malformation of respiratory system, 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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