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

Q82 Other congenital malformations of skin

All 9 codes in the Q82 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

8

Cannot lead a claim

1

What CMS assigns to Q82

8 of the 9 codes group to MMTA - Other (7) and Wound (1); 1 is assigned no clinical group. 1 of the 9 counts toward the Varicose Veins and Lymphedema comorbidity subgroup; 8 are assigned none. 8 of the 9 can lead a claim.

  • Varicose Veins and Lymphedema: can award the low comorbidity tier as a secondary diagnosis.

Every code in Q82

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Q82.0Hereditary lymphedemaCan lead a claimCVaricose Veins and Lymphedema
Q82.1Xeroderma pigmentosumCan lead a claimANone
Q82.2Congenital cutaneous mastocytosisCan lead a claimANone
Q82.3Incontinentia pigmentiCan lead a claimANone
Q82.4Ectodermal dysplasia (anhidrotic)Can lead a claimANone
Q82.5Congenital non-neoplastic nevusCan lead a claimANone
Q82.6Congenital sacral dimpleCan lead a claimANone
Q82.8Other specified congenital malformations of skinCan lead a claimANone
Q82.9Congenital malformation of skin, 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.

The monthly home health regs digest

What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue