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

Q79 Congenital malformations of musculoskeletal system, not elsewhere classified

All 14 codes in the Q79 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

14

Can lead a claim

13

Cannot lead a claim

1

What CMS assigns to Q79

13 of the 14 codes group to MMTA - Other; 1 is assigned no clinical group. None of the 14 is assigned a comorbidity subgroup. 13 of the 14 can lead a claim.

Every code in Q79

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Q79.0Congenital diaphragmatic herniaCan lead a claimANone
Q79.1Other congenital malformations of diaphragmCan lead a claimANone
Q79.2ExomphalosCan lead a claimANone
Q79.3GastroschisisCan lead a claimANone
Q79.4Prune belly syndromeCan lead a claimANone
Q79.5 Other congenital malformations of abdominal wall
Q79.51Congenital hernia of bladderCan lead a claimANone
Q79.59Other congenital malformations of abdominal wallCan lead a claimANone
Q79.6 Ehlers-Danlos syndromes
Q79.60Ehlers-Danlos syndrome, unspecifiedCan lead a claimANone
Q79.61Classical Ehlers-Danlos syndromeCan lead a claimANone
Q79.62Hypermobile Ehlers-Danlos syndromeCan lead a claimANone
Q79.63Vascular Ehlers-Danlos syndromeCan lead a claimANone
Q79.69Other Ehlers-Danlos syndromesCan lead a claimANone
Q79.8Other congenital malformations of musculoskeletal systemCan lead a claimANone
Q79.9Congenital malformation of musculoskeletal system, unspecifiedCMS: Congenital malformation of musculoskeletal system, unspCannot 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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