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

Q65 Congenital deformities of hip

All 15 codes in the Q65 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

15

Can lead a claim

10

Cannot lead a claim

5

What CMS assigns to Q65

10 of the 15 codes group to MMTA - Other; 5 are assigned no clinical group. None of the 15 is assigned a comorbidity subgroup. 10 of the 15 can lead a claim.

Every code in Q65

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Q65.0 Congenital dislocation of hip, unilateral
Q65.00Congenital dislocation of unspecified hip, unilateralCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q65.01Congenital dislocation of right hip, unilateralCan lead a claimANone
Q65.02Congenital dislocation of left hip, unilateralCan lead a claimANone
Q65.1Congenital dislocation of hip, bilateralCan lead a claimANone
Q65.2Congenital dislocation of hip, unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q65.3 Congenital partial dislocation of hip, unilateral
Q65.30Congenital partial dislocation of unspecified hip, unilateralCMS: Congenital partial dislocation of unsp hip, unilateralCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q65.31Congenital partial dislocation of right hip, unilateralCan lead a claimANone
Q65.32Congenital partial dislocation of left hip, unilateralCan lead a claimANone
Q65.4Congenital partial dislocation of hip, bilateralCan lead a claimANone
Q65.5Congenital partial dislocation of hip, unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q65.6Congenital unstable hipCan lead a claimANone
Q65.8 Other congenital deformities of hip
Q65.81Congenital coxa valgaCan lead a claimANone
Q65.82Congenital coxa varaCan lead a claimANone
Q65.89Other specified congenital deformities of hipCan lead a claimANone
Q65.9Congenital deformity of hip, 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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