ICD-10 · PDGM grouping
Q45 Other congenital malformations of digestive system
All 6 codes in the Q45 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.
Codes in family
6
Can lead a claim
5
Cannot lead a claim
1
What CMS assigns to Q45
5 of the 6 codes group to MMTA - Other; 1 is assigned no clinical group. None of the 6 is assigned a comorbidity subgroup. 5 of the 6 can lead a claim.
Every code in Q45
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| Q45.0 | Agenesis, aplasia and hypoplasia of pancreas | Can lead a claim | A | None |
| Q45.1 | Annular pancreas | Can lead a claim | A | None |
| Q45.2 | Congenital pancreatic cyst | Can lead a claim | A | None |
| Q45.3 | Other congenital malformations of pancreas and pancreatic ductCMS: Oth congenital malformations of pancreas and pancreatic duct | Can lead a claim | A | None |
| Q45.8 | Other specified congenital malformations of digestive system | Can lead a claim | A | None |
| Q45.9 | Congenital malformation of digestive system, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
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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